LIBRARY OF CONGRESS. 



%p. ..: .. Goja|ri$i fc,. 



Shelf„Jt4-g 



UNITED STATES OF AMERICA. 




Section of the Male Pelvis. 



THE 



IjALE GENERATIVE ORGANS 

IN HEALTH AND DISEASE; 
FROM INFANCY TO OLD AGE; 

BEING A COMPLETE PRACTICAL TREATISE ON THE 

ANATOMY AND PHYSIOLOGY 

OF THE MALE SYSTEM; 



WITH A DESCRIPTION OP THE CAUSES, SYMPTOMS, AND TREA 

KENT OP ALL THE INFIRMITIES AND DISEASES 

TO WHICH IT IS LIABLE. 

ADAPTED FOB 

EVESY MAN'S OWN PRIVATE USE. 
BY FEEDEEIOK HOLLIOK, M. D. 

AUTHOR OP " THE MARRIAGE GUIDE," " THE DISEASES OP WOMBK, 1 
"MATRON'S MANUAL," ETC, 



Illustrated by Numerous Engravings and Colored Plates. 



TWO HUNDREDTH EDITION, 

1TCCH ENLARGED AND IMPROVED. 




9 

NEW YORK: 

THE AMERICAN NEWS CO., NASSAU STREET, 
PUBLISHERS AND AGENTS. 



9 






Entered according to Act of Congress in the year 1840, 
By FREDERICK HOLLICK. M. D„ 

In the Clerk's ©ffice of the District Court of the "United States foi 
the Southern District of New York. 



PREFACE. 



Iw the course of my practice, and more especially at the 
fermiaation of my Lectures to Gentlemen, I have been 
jrepeatedly asked whether I could not refer them to some 
book, that would give a plain and practical explanation of 
the Male System, and its various derangements, adapted 
for every man's own use and instruction ? In short a book 
was wanted that should serve the same purposes for 
Gentlemen that my " Diseases of Woman* did for 
Ladies ; explaining fully all those affections peculiar to 
their own systems, and none others. No such work, how- 
ever, was extant, and I saw that the only way to supply 
what seemed a general want was to write one. It is true 
there were works professing to treat on the Male System, 
for popular use, but they were all, without exception, 
principally devoted to Venereal diseases^ and those who 
made the enquiry of me were not persons at all liable to 
Buch affections, nor feeling any particular interest in them. 
My audience would frequently say, " We are not subjects 
of syphilis, and probably never shall be, but still we are 
liable to many other diseases, most of which could doubt- 
less be prevented if we knew their nature and causes ; but 
unfortunately for us, with the exception of your Lectures, 
there is no source of information on such matters open to 
us. We want a Book that will treat on these things in the 
same style that your Lectures do, and it will be a public 
service if you will write such a one." For a long time 1 



IV PREFACE. 

was desirous of complying with this request, but my timt 
was so incessantly occupied that I could not do so. Th* 
materials I had in profusion, for I had consulted every 
book on these subjects that was worth reading, both in the 
English and other languages, and I had besides my own 
notes of cases, as numerous and varied as perhaps any ont 
ractitioner ever met with, but still all these materials 
required arranging and writing out I had besides to 
make a number of direct experiments, with animals, and 
of dissections of the human body, for the purpose of testing 
the new discoveries on Generation, announced by the 
European Physiologists, which were so utterly opposed to 
*old notions and doctrines. In addition to these causes of 
delay, I had also several peculiar and highly instructive 
cases in hand, the termination of which I was desirous to 
see, so that I could make use of the novel experience they 
gave. 

Had it not been for all these causes combined I should 
have published this book earlier. The delay, however, has 
been necessary in order to have it complete, and I was 
determined it should not be issued till it was so. It may 
be advisable to state also, for the information of those not 
acquainted with me or my previous publications, that my 
course of study, and long practice, has been almost exclu- 
sively devoted to the physiology and derangements of tht 
Reproductive System, in both sexes, respecting which I 
have had unusual opportunities for obtaining information, 
both in this country and in Europe. Whenever any new 
discovery, or mode of treatment, has been announced, I 
have immediately tested it thoroughly, and have furthei 
made every allowable experiment suggested to myself. 

There are certain difficulties connected with the Repro- 
ductive System that are very important, as affecting 
human health and happiness, but which are scarcely ever 
made the subjects of study by medical men at all, at least 
aot in this ccuntry The consequence is, that the trea.t- 



PREPACK. V 

flient they receive is mostly empirical, and as liable to d« 
harm as good. So evident is this, that many persons sc 
afflicted never apply for medical assistance, but prefer to 
suffer on and not complain. This is particularly the case 
with many difficulties experienced by young persons, and 
with many troubles incident to Marriage, such as 
Impotence and Sterility, aversion or indifference, and 
physical or moral unsuttabihty. In the old world there 
are men of the greatest eminence who devote their sole 
attention to those matters, and who are the alleviators of 
misery, and the dispensers of unexpected happiness to 
thousands. In this country I am not aware of any one, 
besides myself, that has embraced this peculiar line of 
practice, and I have found the greatest want of information 
prevailing, even amongst medical men, respecting the 
means of relief that are really at our command. In all 
probability many of the modes of practice, and many of 
the resources, pointed out in this work, will be entirely 
new to thousands, and will give hope to many who had 
previously been sunk in despair. 



PREFACE TO THE 200TH EDITION. 

On the occasion of publishing this, The Two Hun- 
dredth Edition of the Male Organs, it may not be out of 
place to call special attention to the fact. Such unprece- 
dented success proves that a book of this kind was really 
needed, and that it has met with general approbation. 
The demand for it is steadily increasing, and it may be 
now fairly considered a standard work, with which the 
public will no longer dispense. Every care has- been 
taken to make it complete and perfect, so that it may be 
consulted by every* man, with a full confidence that he 
will find in it whatever he may need to know respecting 
His own system. New matter and illustrations have 
been added, and all the information brought down to the 
latest moment. 

F. HOLLICK. 



CONTENTS. 



PAGE 

DESCRIPTION OF FRONTISPIECE, . ,13 



PART I. 

REPRODUCTION, 14 

CHAPTER I. 
The Female System, . 17 

CHAPTER IL 
The Male System, 36 

CHAPTER IE. 
The Semen, 39 



VUl CONTENTS. 



P AK T II. 



TAGS 

DISEASES, MALFORMATIONS, AND DE- 
RANGEMENTS OF THE MALE SYS- 
TEM, 53 

CHAPTER IV. 

The Diseases, Deficiencies and Malforma- 
tions of the Testes, their Envelops, 
and the parts more immediately con- 
nected with them, 56 

Anomalies in the size and apparent number of the Testes. 60 

Hydrocele, or Dropsy of the Testicles, 66 

Sarcocele, or Chronic Fleshy Swelling of the Testicle, . . 80 

Fungus of the Testicle, 84 

Hernia Hnmoralis, Orchitis, or Inflammation of the Testicles, 86 

Ossification of the Testicle, 95 

Arrest of Development and Wasting of the Testes, ... 96 

Tubercular Disease, or Consumption of the Testicle, . . 103 
Foreign Bodies in the Scrotum along with the Testicles, . .105 

Nervous Affections of the Testicles, ib. 

Spermatocele, or Swelling of the Testes from engorgement 

of Semen, 112 

Scrotocele, or Rupture of the Intestines or Omentum into the 

Scrotum, . . 113 

Varicocele and Circocele, or swelling of the veins of the Scrotum 

and Spermatic Cord, lib 

Hematocele, or Swelling of the Scrotum and Spermatic Cord 

from the effusion of Blood, 120 

Prurigo, or Itching of the Scrotum, . . . . . .121 

Elephantiasis Scroti, ... 127 

Falling of the Spermatic Cord 125 

Relaxation of the Scrotum, 126 

Diseases of the Vasa Deferentia, ....... 127 

Diseases of the Seminal Vesicles, . . . • * . .130 



CONTENTS. IX 

PAGB 

CHAPTER V. 

The Structure, Diseases and Malforma- 
tions of the Penis and the parts im- 
mediately CONNECTED WITH IT, . . 131 

Absence and Malformation of the Penis, 137 

Hypospadias, 141 

Epispadias, 145 

Phymosis, , . . ib. 

Faraphymosis, 146 

Want of Development, or Congenital small size of the Penis, 149 

Paralysis of the Muscles of the Penis, . . . . . 164 

Priapism, or Involuntary Erection, ib. 

Diseases of the Urethra and the parts contained therein, . 171 

The Prostate Gland, 176 

CHAPTER VI. 

Functional and Sympathetic Diseases of 

the Genital Organs, .... 182 

Influence of the Brain on the Generative Powers, . . . 185 
Influence of the Mind over the Generative Organs, . . . ' 192 
Excessive Sensibility of the Genital Organs, . . . .201 

CHAPTER VII. 
Spermatorrhea, or excessive loss of semen, 204 

Causes of Spermatorrhoea, 271 

Particular Effects of Spermatorrhoea, 216 

Symptoms by which the Spermatorrhoea may be detected, . 249 

Impotence from Involuntary Emission, 255 

Treatment of Spermatorrhoea,' 276 

CHAPTER VIII. 

The Influence op Medicines in Producing 
and Curing Impotence aijd Sperma- 
torrhea, 287 



X CONTENTS. 

PACT 

CHAPTER IX. 
Masturbation and other Sexual Abuses, . 306 

CHAPTER X. 
Erotomania and Satyriasis, .... 340 

CHAPTER XI. 

General Remarks on the Preservation and 

Restoration op the Sexual Powers, . 348 

CHAPTER XII. 
Remarkable Case of Elephantiasis, . 368 

Facts for the Feeble, .... 373 



ILLUSTRATIONS. XI 



ILLUSTRATIONS. 

+♦-♦ ; — 

PAOB 

PLATE I. 

SECTION OF FEMALE PELVIS, .... 16 

PLATE IT. 

FRONT VIEW OF THE FEMALE PELVIS, . . 21 

PLATE III. 

OVARIES AND VESICLES, 26 

PLATE IV. 

UTERUS AND APPENDAGES LAID OPEN, . . 35 

PLATE V. 

SEMINAL ANIMALCULES, ..... 4& 

PLATE YI. 

NON-DESCENDED TESTICLE, 47 

PLATE VIL 

VARICOCELE, 52 

PLATE Yin. 

SEMINAL TUBES OF THE TESTICLE, . 55 

PLATE IX. 

HYDROCELE AND WASTED TESTICLE, ... 68 

PLATE X. 

SECTION OF PENIS AND BLADDER, . . . 133 

PLATE XL 

REMARKABLE CASE OF ELEPHANTIASIS, , . 367 



NOTICE. 



Any persons wishing to communicate wrth Dr. H. of 
letter, can address to 

"Dr. F. Hollick, 

Box 3606, Post Office, 

New York City, N. Y," 
and they will be promptly replied to. 

All Letters asking an opinion, or advice, must be full 
and plain in their descriptions, so that a correct judgment 
can be formed, and they must always contain the custom- 
ary fee of Five Dollars, or they cannot be attended to. 

N. B. — Persons visiting New York, can always hear 
respecting Dr. H. by calling on his publisher, who will 
know if he is then in town or not, and will give the 
address of his office. In the changes constantly occur- 
ring in New York, removals frequently occur, which 
makes this precaution advisable. 

F. H.. 



DESCRIPTION OK FRONTISPIECE 

Section of the Male Pelvis to show the situations of th« 
different parts. 

A.. The Bladder. — B. The Rectum, or end of the large 
Intestine. — C. The lower part of the back bone, or 
Sacrum. — d. d. The small Intestines.—/. One of the Kid- 
neys. — g. g. The Ureter, or Tube which conveys the 
Urine from the Kidneys into the Bladder. — h. The Pubic 
or Frontal Bone of the Pelvis. 

1. The left Testicle.— 2. 2. The Vas Deferens, or Tube 
which conveys the Semen from the Testicle. — 3. The left 
Seminal Vesicle, with which the Vas Deferens is con- 
nected. — i. The Ejaculatory Canal, into which the Semen 
next passes. — 5. The Prostate Gland, with which the 
Ejaculatory Canal connects, and through which the Semen 
passes into the Urethra, or Urinary passage from the 
Bladder, (7). — 6. Is the Veru Montanum. or small protu- 
berance which partly closes the neck of the Bladder. — 
7 7. The Urethra, or passage by which the Urine escapes 
from the Bladder down the Penis. — 8. The upper part of 
the Penis, or Corpus Cavernosum. — 9. The lower part, or 
Corpus Spongiosum. — 10. The Glans, or head of the 
Penis. — 11. One of Cowper's Glands. 

The course of the Semen is from the Teste along the Va* 
Deferens to the Seminal Vesicle, then along the Ejacula- 
tory Canal and through the Prostate Gland into the 
Orethra, which it enters by the lower part of the Veru 
Montanum, at the part indicated by the two black dots. 
It then escapes from the body in the same way as th* 
Urine does 



PART I 



REPRODUCTION. 



The Reproductive process in the huma* being, 
ts in all other perfectly organized animals, requires 
the concurrent action of two different organizations, 
the male and the female, each performing a distinct 
part, one as necessary as the other. Neither of these 
organizations alone can effect the whole process of 
reproducing a new being, though in certain cases 
they may partly do so, in an imperfect manner. To 
understand fully the action of each, which is re- 
quisite before their derangements and diseases can 
be understood, it is requisite to give a genera 
description of both, and also of Reproduction it 
self. This description can now be given with 
something like accuracy, owing to the valuable dis- 
coveries of modern science, and a correct idea can 
be obtained, of the main steps at least, of this won- 
derful phenomenon, though hitherto it has* beeo 
shrouded in such imperetrable mystery. 



PLATE «. 

Section of the Female Pelvis 
A The Bladder. 
B The Womb. 
C. The Vagina. 

D The Rectum, or end of the large Intestine 
e. One of the Ovaries. 
/. The Corresponding Fallopian Tube. 
g. The Os Tineas, or Mouth of the Womb, which openo 

into the Vagina, or lower passage. 
h The Meatus Urinardus, or Mouth of the Bladder, fc| 

which the Urine escapes. 
t. The Small Intestines. 

j \ The Sacrum, or lower part of the back bone 
k The Pubic, or Front Bone of the Pelvis 
/. Tfhe Right External Lip. 
in The Right Internal Lip, or Nymph* 
n The Hymen. 

o. Fhe Opening through the Hymea, 
f The Clitoris. 
Fhe Perineum 




Plate L 
Section of Female Petti. 



»»^'i 11 r i- • 



CHAPTER I. 

THE FEMALE SYSTEM 

The office of the female system is twofold : it 
Jms to produce in the first place one of the original 
principles, or primary parts, from which the new 
being begins ; and also to effect its development 
into the perfect form. The female organs are 
therefore much more complicated than those of the 
male, and her part of the process is more extended. 

The most essential parts of the female organiza- 
tion are two organs termed the Ovaries ; which are 
located in the abdomen, one on each side, just 
above the groin. These organs have the power, • 
when their full development is attained, to produce 
certain little bodies called Ova, or Eggs, essen- 
tially the same as the eggs of birds, one of which is 
always required in the commencement of a new 
being. 

These organs are small in early life, and com- 
paratively inactive, but at a certain period, termed 
puberty, they become larger, and commence a 
•eries of curious and important physiological pro- 
cesses, the object of which is to develop the egg and 
to effect its expulsion from the body. 

When the ripe Ovaries are dissected they are 
found to contain a number of cells, or vesicles, 
Which may be compared to those of a honey-comb, 



18 THE FEMAIE SYSTEM. 

and in each of those cells is contained one of th» 
germs or eggs, surrounded by a white fluid like the 
white of an egg. These cells are termed the 
Graafian Vesicles, after the Anatomist Graaf, who 
first described them ; they are about as large, 
when fully developed, as a small pea, but are not 
all of the same size at once, some being small or 
merely rudimentary, and others approaching per- 
fection. Before the age of puberty these cells and 
the eggs they contain, are all undeveloped and 
small, but at that time their gradual and successive 
development commences. It is found, from recent 
observations, that only one of them is perfected at a 
time, and that it requires a certain period before 
another can be produced. In the adult ovary 
therefore we find them at every stage, some being 
only in the rudimentary state, others just com- 
mencing to grow, and others having aaained a con- 
siderable size, there being always one more ripe 
than any of the others, and evidently approaching 
•to perfection. 

When the egg is fully developed it is thrown out 
of the Ovary, and after a time makes its escape 
from the body, in a very curious manner only 
recently discovered. There are therefore two 
different actions performed by the Ovaries, first 
the forming or developing of the eggs in successive 
order, and secondly, the expulsion of them from 
the Ovary, and ultimately from the body. 

This development of the eggs it must be remem- 
bered is entirely independent of sexual union or ex- 
citement, and is totally unconnected with conception, 
except as a preparation for it. In every female, 
whether virgin or not, from the age of puberty till , 
the turn of life in old age, this development of ths 



THE FEW AT, 75 SYSTEM. 



eggs is always going on, excepting in certain His. 
Bases, and during gestation and nursing, when it is 
usually suspended. It is also performed in ceriain 
definite and regular periods, which are nearly the 
Bame in all persons alike. This period is usually 
one month, or twenty-eight days, and most females 
observe precisely that period with singular regu- 
larity. During every month, therefore, after 
puberty, with the exceptions above named, one of 
the Graafian Vesicles, and its included egg, arrives 
at perfection, and at the end of the month the egg is 
expelled from the body. 

The egg appears to be expelled from the Ovary 
by a real inflammatory action, similar to what 
nature establishes to effect the expulsion of an in- 
jurious foreign substance in any other part of the 
body. Towards the end of the month the Vesicle 
begins to swell very much, and is filled with blood, 
instead of the white fluid seen there at othe:* cimes ; 
the egg, which was formerly at the bottom of the 
Vesicle, is now lifted up to the top, by the fluid 
underneath, and is at last pressed forcibly against 
the envelop or skin of the Vesicle. This pressure 
becomes eventually so great that the envelop 
bursts and the egg escaping through the rent 
reaches the outside of the Ovary. It is then taken 
to a particular part of the body to remain for a cer- 
tain number of days, during which it may be im- 
pregnated, or receive the male princip]e, and if this 
takes place, they both remain and develop into the 
new being, but if no impregnation is effected then, 
at the end of that time the egg is passed out of the 
body and lost. From this it is evident that impreg. 
nation, or conception, can take place only during 
ihose days after the egcr is expelled from the Ovary 



PLATE II. 

Front View of the Female Pelvis, with the External Walli 

removed. 
A. The Bladder. 
B The Womb. 

D. The Rectum, or Large Intestine. 
e. e. The Ovaries. 
/./. The Fallopian Tubes. 
i. i. The* Small Intestines 
r. r. The Round Ligaments. 

This shows the situation of the Organs in the front cd 
the bod 7, as they appear when it is first opened. 




Plate II. 
Front view of the Female Pelris. 



22 THE FEMALE SYSTEM. 

and while it yet remains in the body, as will be ex. 
plained more fully further on. 

The inflammatory action by which the Vesicle 
is filled with blood, and the egg excelled from the 
Ovary, is not altogether confined to those parts, nor 
to that one process, but affects other parts, and ac- 
complishes othea* purposes. The whole * Ovary, 
and also the neighboring organs, become at that 
time singularly excited and congested with blood, 
and at last, to relieve themselves, the blood mixed 
with mucus is discharged, to subdue the inflamma- 
tion. This discharge usually lasts about four 
days, and is termed the Menstrual, or monthly Jlow. 
This flow, therefore, about which so little has pre- 
viously been known, is caused by the expulsion of 
the Ovum or Egg from the Vesicle, and indicates 
the period when that expulsion takes place. Con- 
sequently in those who have no Ovaries, or in 
whom they are torpid, or destroyed by disease, no 
menstruation takes place. And for the same rea- 
son it is not seen before puberty, because the eggs 
are not then ripened, nor after the turn of life, 
because then they are all expelled. This discharge 
is therefore an indication of ihe capability for con- 
ception, and it is also, in all probability, a means of 
removing much injurious matter from the system, 
so that female health is materially dependent upon 
it, and those in whom it does not appear, or becomes 
irregular, are nearly certain to become diseased. It 
is proper to remark, however, that it is sometimes 
nearly or quite colorless, and then the persons think 
they have no menstruation, though it may never, 
theless be perfectly regular. 

When the egg is fully expelled it leaves behind 
it the hollow Vesicle, filled with clotted blood, ai 



THE FEMALE SYSTEM. 23 

trie top of which is a torn place, or rent, through 
which the egg escaped, in a ihort time this blood 
dries up and changes to a dull yellow color, while 
the rent forms a scar on the surface of the Ovary, 
and we thus have produced the yellow body called 
a Corpus Luteum, which was formerly thought to 
result from conception only, but is now known to be 
an old Vesicle from which an Ovum has been ex- 
pelled. On the surface of ihe Ovary of an adult 
female a number of Xhese scars are always to be 
seen, but as they gradually fade away and disappear, 
only some few, and sometimes only the last one, can 
be distinctly seen. The Vesicles are contained at 
first, in their rudimentary state, in the body of the 
Ovary, and appear to develop in succession, the 
outer ones first, each one when fully ripe projectinor 
Dn the surface like a small pimple or nipple till it 
bursts. The egg itself, when fully developed, is 
only about as large as the point of a pin, in fact it 
can only just be seen by the naked eye. This may 
appear singular when compared with the large egg 
of a bird, but it must be recollected that the bird's 
egg is surrounded by the nutritious matter from 
which the new being is to be made, because it is 
totally separated from all other sources of nutrition, 
but the Human Ovum remains in the mother's body 
and derives nourishment from her blood to effect its 
development, it has therefore no need for any supply 
of nourishment to be attached to it. The actual 
germ is probably no larger in the bird than in the 
human female. 

When the egg is fully, ripe, if it receives the male 
principle, it will develop, to a certain extent, into 
the human organization in any part of the body. 
But it cannot fully and perfectly develop except is 



24 THE FEMALE SYSTEM. 

a particular organ, called the Matrix, the uterus, or 
Womb. The position of this organ in the Dody may 
be seen in the Plates. It is a small hollow organ in 
its natural state with very thick walls, but capable 
of undergoing astonishing changes, and possesses 
every requisite both for the perfect development of 
the new being, and also for its expulsion into iht 
world when fully grown. 

The Ovaries are attached to the Uterus, wie on 
each side, by ligaments or banc's, but have no direct 
connection with its cavity. The connection between 
the Ovaries and Womb is bv means of two organs, 
one attached to each side of the Womb just above 
the Ovaries, called the Falhxnan Tubes. A small 
cavity leads from the inside of the Womb down 
these Tubes to the end opposite the Ovaries, which 
is expanded like a Trumpet, a\?d surrounded by a 
number of fringes or Tentacular Hke the fingers of 
a hand. 

The Womb is placed at the too ox the passage or 
Tube called the Vagina, and opens into it by a 
small mouth called the Os Tincse. or mouth of the 
Womb. The lower part of the Vagina opens ex- 
ternally by the mouth called the Vulva. There is 
therefore a direct passage lrom the Ovaries to the 
outside of the body, by whiuh the Ova or Eg^s ar*» 
expelled. 

After this description, the maturation and exDi») 
sion of the egg, and the process of conception cs*» 
be readily understood by th« following explanation 
and by referring to the Plate*. 

An egg becomes ripe at tlfr end of every monthly 

period in one or the other of uie Ovaries, a^d when 

expelled in the manner abov^ described it ^ UxJceo 

into the Womb in the folio wi»« snsumtM ■ At the 

3* 



25 



PLATE III. 

Ovaries, Graafian Vesicles, and Ova 

1 One of the Ovaries just before the Crisis.— a. Is th« 
Graafian Vesicle that is nearly ripe, and preparing to 
burst, the Ovuui projecting upon it like a small 
pimple. 

2 The same Ovary cut through, to show the Interior. - 

a. Is the Vesicle as seen within ; the dark centre 
denoting the clot of blood which throws out the Egg. — 

b. Is an old Vesicle, from which an Egg has been ejected 
at some former crisis. It is now drying up, and forms a 
Corpus Luteum 

8 Is the Graafian Vehicle removed and magnified. — a. Is 
the Ovum, or Egg, just' breaking through the rent in 
the Vesicle. 

4. Is the Egg itself magnified, showing its granular atree* 
ture. — a Is the G srminal Vesicle 




Plate m. 

Ovaries and Ves sides. 



THE FEMALE SYSTEM. 

precise time when the egg is fairly loose from the 
Vesicle, the expanded end of the Fallopian Tube 
grasps the Ovary over the spot where it is, and the 
fringes or fingers at the end of the Tube take hold 
«)f and ^arry it into the passage. The Tube then 
contracts and the egg is gradually forced down its 
interior till it reaches the Womb. 

When the egg arrives in the Womb it would of 
course pass immediately out, by way of the Vagina, 
if there were not some contrivance to prevent it, 
which of course there is, and of a very simple and 
perfect character. While the egg *is passing down 
the Tube there is formed in the interior of the 
Womb a thin membrane, or skin, which lines its 
walls ana closes the passage at its mouth. While 
the egg passes out at the Uterine end of the Tube it 
presses on this membrane and makes a depression 
or nest in which it lies. 

As long therefore as. this membrane remains 
attached the egg is retained in the Womb, and con- 
ception is possible, because the male principle can 
penetrate through it without obstruction, but at the 
end of a certain time the membrane looses away and 
parts from the body, taking the egg along with it, 
after which, of course, there can be no conception 
till another such period comes round and another 
egg is lodged there in the same manner. Conse- 
sequently theie is only apart of each month during 
which conception can take place, and during the 
rest of the month it is impossible ! The precise 
period during which conception can occur varies in 
different persons, being in some only one or two days, 
and in others much longer, but it probably nevei 
extends beyond half the month, or fourteen days. 
This statement I air aware will surprise manv per 



28 THE FEMALE SYS'EM. 

sons, it being generally thought that cohesion may 
take place at almost any time ■ bux mere is no 
question that this is an error. 

As near as can be ascertained, the flow occurs 
while the expulsion is taking place- from the Ovary 
and tht egg does not reach the womb until the first 
or second day after the discharge has ceased, it is 
therefore from the second day after the cessation of 
the period that the time during which concept ion 
can take place is reckoned. This time, I think it 
necessary to staje again, is so various in different 
females that no general rule can be laid down, and 
there are so many causes which make its com- 
mencement and duration uncertain, that it cannot 
be calculated upon practically, except by ex- 
perienced persons. There are signs by which the 
period during which conception is impossible can be 
told in every female, with perhaps a few exceptions, 
but they can only be detected by those who have 
been long in the habit of observing them. The 
Membrane and Egg together are so small, and so 
delicate in their structure, that no female perhaps 
ever observed them, though passing from her body 
every month. I have, however, obtained them, and 
have pointed them out to persons, by the aid of the 
microscope. 

A knowledge of the above mentioned facts en- 
ables us to explain many cases of barrenness, the 
causes of which were previously unknown. In some 
females the Ovary has not power to perfect the egg y 
and it is constantly expelled before its development 
is complete, and therefore is not capable of being 
impregnated. In others the Womb does not form 
the Membrane, so that the egg instead of being re- 
tained vi the Womb passes immediately out, and 



THE FEMALE SYSTEM. 29 

conception has no chance to occur. Some females 
can only retain the egg a few hours, or perhaps for 
a day, and if not impregnated during that short 
time they cannot be so during the rest of the month. 
The most probable time for conception is from the 
Jrst to the fifth day after the cessation of the men- 
strual flow. 

The actual process of conception is in itself very 
simple, and may be explained in a few words. The 
semen, or male principle, is deposited, during as- 
sociation, in the Vagina, and from thence conveyed 
upwards through the Os Tincae, into the cavity of 
the womb. If it reaches the upper part, and the 
egg be there, conception may occur ; but there are 
many causes operating both to prevent its transit 
and also to destroy its power. The upward passage 
of the semen is accomplished by a peculiar vital 
power in itself, which will be explained when we 
describe the male system. The place of union of 
the two principles is therefore usually in the uppe? 
part of the womb, or possibly also at the uterine end 
of the Fallopian Tube. 

Immediately after impregnation has been effected 
the egg attaches itself permanently to the walls of 
the womb and begins to develop into a human 
being, the womb expanding to allow of its doing so. 
When fully grown the walls of the womb begin to 
contract and eventually expel it from the body, by 
way of the vagina. During its growth the nutri- 
ment required is obtained, in some way not very 
well understood, from the mother's blood, the com- 
munication between the Foetus and its parent being 
of the most wonderful and mysterious character. 
Instances have been known of the egg f after its im- 
pregnation, being taken back again, by a reverse 



SO THR FEMALE SYSTEM. 

action of the Tube, to the outside of the womb, and 
partly developing there ; such cases are called extra 
utefine conceptions, and they are supposed to resuh 
from fright or other sudden and powerful emotions. 
The natural action of the Tube is such that it can 
only convey anything from the Ovaries towards the 
womb, but sudden and strong excitement of the 
nervous system. may, for a short time, reverse this 
natural action, and if there should then be an im- 
pregnated egg at the uterine end of the Tube it may 
be brought to the outside, and thus produce an extra 
uterine conception. These, however, are always 
imperfect, and of course can never be born. Some- 
times they form into tumors which may be carried 
for years, or even for life, but more frequently they 
decay after a time and pass away by an abscess, 
often with little injury or riek to the patient. 

The old notion about one Ovary producing males 
and the other females, is incorrect, either one pro 
iucing both sexes. It is also an error to suppose, 
a>s some persons do, that sexual feeling is requisite 
in the female for conception to take place. There 
is no question whatever that it can occur in certain 
cases, not only without sexual feeling, but also 
during sleep, or in a state of perfect unconsciousness, 
though it is not so likely to do so. This will be 
better understood, however, after the male system 
has been described, when it will be shown that il 
may be even effected artificially, without any 
intercourse of the sexes at all. 

This explanation, it will be observed, establishes 
a perfect correspondence between the action of the 
reproductive system in the human female and in all 
others, such as reason and analogy would lead us to 
expecU 



THE FEMALE SYSTEM. 31 

The constant production of Ova, 01 Eggs, af 
regular periods, as a part of the proper action oj 
the female system, independently of sexual unioi. 
or excitement, is what universally occurs. In 
those animals that bring forth their young alive, it 
is true, we do not ordinarily see them, unless they 
are closely looked foiyowing to their small size and 
to their remaining within the body to develop 
when impregnated. But in those who produce 
their young externally, as birds for instance, the 
eggs are larger and easily seen, and it is well 
known that they are regularly produced without 
any concurrence of the male bird. These eggs 
so produced, however, are infecund, that is, they 
cannot develop, because they have not the male 
principle. This is what we have shown occurs in 
the human female ; the eggs are regularly pro- 
duced, but when not impregnated are thrown off 
and lost. 

The use of impregnation therefore is to vivify 01 
perfect the egg, and not to produce it as the old 
iheories supposed. 

In like manner we see that in all animals a crisis 
is produced when the eggs are ripened and cast off, 
strictly analogous to the monthly crisis in the 
human female. The period, however, varies very 
much, though always constant in the same being. 
Thus some animals produce their Ova oniy cnce in 
two or three years, as the Lion and Elephant for 
instance, while others do so every year, usually in 
the spring, as the Deer and wild cattle for instance. 
When this occurs there is a peculiar excitement 
engendered in the system, called the Rut, or heat, 
which is accompanied by a flow, and is strictly 
analogous to the monthly crisis in the human being, 



32 THE FEMALE SYSTEM. 

It is of course only at that period when the eggi 
are ripened that impregnation can be effected, as is 
well known with domestic animals, who conceive 
only in the season of rut, or heat, which usually 
occurs in the spring. They will not admit the male 
at any other time, ibecause there is not the requisite 
excitement to create the desire to do so ; but even 
if they were there could be no conception, simply 
because there is no egg to be impregnated. In the 
the hunran being the ovarian development i» 
monthly, and therefore conception can occur at 
almost any period of the year, though only at a 
particular part of each month. In some domestic , 
animals, as Fowls and Rabbits for instance, the 
ovarian development is almost incessant, so that 
they produce eggs, or oonceive almost without 
intermission. 

On dissecting the ovaries of any animal at the 
proper period, all the appearances can be noted 
that we have described in the human being. The 
vesicles may be seen at various stages of develop- 
ment, the Corpora Lutea may be detected where 
ova have formerly been expelled, and, in birds, the 
eggs themselves may be seen, some merely rudi- 
mentary, others larger, and some nearly ready to 
be expelled. In the human being there is usually 
jut one vesicle, and its egg, ripened at each period, 
but occasionally there are two or more, when we 
may have twins, and so forth. So that in those 
animals who have always several young at a birth, 
there are, of course, always as many vesicles 
ripened, and a Corpus Luteum is formed for each. 

The structure of the egg is the same in alj 
animals, being precisely like that of the bird 
The main part is a mass of yellow granules, called 



THE FEM4T.E SYSTEM 3$ 

ihe ye7H, in which is found a small greenish 
vesicle, called the germinal vesicle. The white por- 
tion seen so large in birds, is, like the shell, an 
accidental addition, and not strictly a part of the 
ovum ; it is not needed in those Ova that are 
developed in the body. In its passage down the 
Tube the egg is broken open by the germinal 
vesicle bursting through its outer envelop and 
escaping. This breaking open of the egg is, as 
will be shown when the male principle is described, 
a necessary preparation for conception, and is in 
itself a very curious phenomenon. 

I am aware that the facts I have stated, and the 
conclusions drawn from them, are totally at vari- 
aroe with many old theories and popular notions, 
and will seem very strange to those who hear them 
for the first time. It is, therefore, necessary for me 
to state that they are not advanced without the 
fullest authority. It is only very recently that a 
knowledge of these curious and important facts has 
been obtained, and they have not yet had time to find 
their way even into standard scientific works, in this 
country, though well known to practical Physiolo- 
gists. They are the results of actual experiment 
and investigation, and are placed beyond the possi- 
bility of doubt. These explanations have a very 
different foundation, therefore, from the mere theories 
and suppositions contained in most physiological 
works, which are generally supported only by 
questionable statements or loosely observed facts 

For full particulars on all these matters seo my 
" Marria»oe Guide," in which will be found all mat is 
known on such subject. 



PLATE IV. 

The Uterus and its appendages removed, to ■how th«b 

connections 
B. The WomD. 
0. The Vagina 
e. e. The Ovaries 
/. /. The Fallopian Tubes. 
g. The Neck of the Womb. 
r. r. The Round Ligaments. 
s. The Left Broad Ligament. 

This view represents the Organs disconnected from all 
the other parts. The passage of the Ovum, from th« 
Ovary down the Fallopian Tube to tht Womfr eaii ht 
readily understood by this piste. 




Plate IV 
UWroa and appendages laid ope» 



wri>i> 



36 

CHAPTER II. 

THE MALE SYSTEM. 

The most essential organs in the male system 
ire two glandular bodies, called the Testes or Tes. 
tides, which are placed, after birth, outside of the 
body, in an external envelop, called the scrotum, 
hanging from the pubic bone. The use of these 
organs is to produce the male principle, o r semen, 
as .he ovaries produce the female ova or egg. 
The Testes, like the Ovaries, are not capable of per- 
forming their proper functions till a certain period 
of life, called puberty, but unlike them, they are 
not liable to lose their powers at any particular age, 
but may preserve them indefinitely. In the early 
stages of existence in the womb the testes are con- 
tained in the abdomen, and only descend to the 
scrotum just before birth. 

On dissecting one of the testicles, it is found to 
be chiefly composed of blood-vessels and numerous 
small tubes containing semen. A branch of the 
spermatic artery is sent from the abdomen down to 
each testis, in which it divides and subdivides into 
thousands of little branches, many of which are 
too small to be seen by the naked eye. It is this 
artery that brings to the testes the pure blood from 
which probably the semen is formed. The extreme 
ends of the minute arterial branches are appa- 
rently continous with the commencements of the 
seminal tubes, so that in examining them we grad- 
ually lose sight of the blood and begin to find 



THE MALE SYSTEM. 37 

■*<nen. The seminal tubes are at first exceedingly 
minute, but very numerous, and they gradually 
unite together to form larger branches, and trunks, 
till eventually the whole form but one tube, called 
the Vas Deferens, by which the semen is conveyed 
to the Urethra. The number of these little tubes 
has been estimated at over sixty thousand in one 
testicle, and it has been shown, that, if they were put 
in a straight line, they would measure many hun- 
dreds, if not thousands of feet. There is also a 
branch of the spermatic vein connected with each 
testis, which ramifies in its substance similarly to 
the artery. This vein is to take away the impure 
and refuse blood when no longer needed. 

The TestiCies are therefore mainly composed of 
three kinds of tubes, or vessels, namely, Arteries, 
Veins, and Seminal Tubes. In addition to which 
vhere are also numerous nerves, and Lymphatics, or 
absorbents, the whole being connected together by a 
cellular substance or tissue. Each one is connected 
with the body by what is termed the spermatic cord, 
which is a kind of sheath, or tube, about half an 
inch in diameter, containing the main branches of 
the Artery, Nerves, and, Lymphatics, going to the 
Testis, with the main branch of the vein, and the 
Vas Deferens, coming from it. This spermatic 
cord ascends into the Abdomen, when the different 
vessels composing it are distributed to their res- 
pective places. Each testis is also surrounded by 
a distinct coat, or tunic, beside the scrotum, or outer 
•kin, in which both are enclosed. 

The manner in which the semen is actually made 
is of course unknown to us ; we can only point oi> 
the place where it originates and explain its pro- 
gress towards the exterior of the body. 



38 THE MALE SYSTEM. 

The Vas Deferens from each Testis, into which 
all its seminal tubes have poured their contents, 
ascends into the Abdomen through the spermatid 
cord, and rises nearly as high as the top of the 
bladder, behind which it turns, and then begins to 
descend till it meets over its lower part with two 
small organs called the Seminal Vesicles, with which 
it becomes connected. From the seminal vesicles 
the semen passes down a small tube called the 
Ejaculatory Canal, which is attached to the bladder 
and which joins immediately under it, an organ 
called the Prostate Gland. Finally, by means of 
some curious openings through the prostate gland, 
the seminal fluid is passed into the Urethra, or pas- 
sage down the Penis, by which the urine escapes 
from the bladder, and is thus ejected from the 
body. 

These several parts comprise the whole male 
generative system, and in the act of impregnation 
each one has a special function to perform. The 
Testis secrete the semen, the Vas Deferens and 
ejaculatory canal convey it to the Urethra, and the 
penis deposits it in the Female Organs, while the 
seminal vesicles and prostate gland either secrete 
some necessary addition, or effect some modification 
in it. 

This general description will be sufficient for our 
present purpose. A full account of each organ, 
and of all their different diseases, will be given 
further on. After the nature and properties of the 
Seminal Fluid have been treated upon. 

(A reference to the Frontispiece and its explana. 
tion, will give a clear idea of the description here 
given, and will also make any of the subsequent 
articles be readily understood.) 



39 

CHAPTER III 

THE SEMEN. 

The vivifying principle secreted by the male 
testes is a yellowish white semi-fruid substance, 
having a peculiar odor. It is slightly viscid and 
of a saltish flavor, when fresh. On examination h 
is found to consist of two distinct parts, one nearly 
fluid and the other like globules of half-dissolved 
starch, which, however, both melt together when it 
is exposed some time to the air. The peculiar 
odor of the Semen appears to be derived from some 
of the parts through which it passes, for when taken 
from the testes it has scarcely any smell at all. 

Chemical analysis shows us that the semen dif- 
fers but little in its composition from other sub- 
stances found in the body. In 1000 parts there are 
about 900 water ; 60 animal mucilage ; 10 soda ; 
and 30 of phosphate of lime, with a peculiar animal 
principle, the composition of which is unknown. 
This analysis it must be recollected is that of the 
semen, as it leaves the body, that is the secretion 
of the Testes, Vesicles, Prostate Gland, and other 
parts, united together. How far the pure semen 
from the testis alone differs from this is not known 
By some the starchy portion only is supposed to be 
produced by the Testes. 

The Seminal Animalcule. — The most curious 
peculiarity of the semen, and in many respects the 
most important, is that there always exists in it, 
when perfect, a number of remarkable living 



40 THE MALE SYSTEM. 

beings called the Zoosperme-s } or Seminal Animal 
culae. These beings were discovered many years 
ago, but have not been accurately studied and 
described till very recently. The representations 
and descriptions given of them wi old works are 
mostly incorrect, and sometimes very extiavagant, 
and calculated to mislead rather than inform* 
Some physiologists, who saw them imperfectly, 
even doubted if they were living beings. The per- 
fection of that magical instrument, the microscope, 
however, and the patient investigation of such men 
as Pouchet and his coadjutors have not only cor- 
rected these old errors, but also disclosed to us new 
truths, more wonderful even ihan the wild dreams 
of former times. 

As far as yet investigated these Animalcules exist 
universally, in the Semen of all animals whatever, 
but have a peculiar form and development in each. 

If is also ascertained that they are developed 
from a species of egg, or ovum, called the seminal 
granules, or vesicles. Under the microscope a 
number of these can always be detected, like little 
globules of mucus, and they are observed to 
undergo a regular series of changes similar to those 
of the female ovary. When first observed they 
are round and merely contain a number of small 
granules, which are the Animalcules, in a rudimen* 
tary state. At a further stage these granules are 
found to be developed into small Animacules, while 
the containing vesicles have expanded and become 
elongated, or egg-shaped. Finally the vesicle I reaks 
open at one end, and the Animacules escape, being 
at first very small and gradually growing after* 
wards to the size we ordinarily see them. 

The figures in the accompanying plate represent 



?ta Aeminai Animalculas in the Human Subject. 

1 One o/ tne Vesicles, containing the Animalcules ia i 
rudimeniary state, coiled up. 

2 The Vesicle broken open, and the Animalcules escaping 
K and 4. Perfect Animalcules. — a. Is the stomach and in- 
testines. The two round white spots at the top, indicate 
the mouth and the sucker by which it attache? jt«e£f 
These are magnified many thousand times 




Plate V. 

Seminal Animalcule* 



THE MALE SYSTEM. 43 

the form of the Zoospermes and the changes in 
the vesicles, as seen under the microscope, in the 
human being. 

In different beings the form both of the Vesicle 
and the Animaculse varies much, and occasionally 
the Zoospermes undergo some remarkable meta- 
morphoses before assuming their final form. 

In the human being there are about thirty Zoo* 
spermes in each vesicle, but in some beings there 
are more, and in others not so many. The number 
of vesicles varies very much, at different times* 
even in the same individual. 

The precise size of the Zoospermes is of course 
difficult to ascertain, but * Mr. Pouchet estimates 
their length at about the ten thousandth part of an 
ordinary hair, and their weight at about the hundred 
and forty thousand millionth part of a grain ! 
K spot as large as a mustard seed, he remarks, 
will sometimes contain fifty thousand of them, or 
more. 

Notwithstanding this extreme minuteness we are 
now* tolerably well acquainted with their peculiari- 
ties of structure, and even with many of their habits ; 
nor need this excite much surprise when it is recol- 
lected that there are beings still smaller that have 
been studied with even greater success. In Fig. 
3 and 4 of the last plate, the form of the human 
Zoospermes is given correctly, and their internal 
organization is also partly shown by the part marked 
a. a. Fig. 4, which is supposed to be the stomach. 
In the perfect state each one has a sucker at the 
larger end, represented oy the white dot in Fig, 
3 and 4, by which they can attach themselves to 
%ny object. They are observed to change then 
skins at certain periods, like snakes, and we some* 



44 THE MALE SYSTEM. 

times find the loose skin hanging about them in 
shreds ; or cast off quite whole. In some animals 
they have a number of hairs, or cilia, by the motion 
of which they move in the flukl, and some even have 
perfect fins. One Physiologist assures us that he 
distinctly saw they were sexual, and that he could 
readily distinguish the male and female ! They 
are usually lively and active, with peculiar 
motions, some of which are performed in concert 
and others singly, with great perseverance and regu- 
larity , thus a number of them will sometimes form 
into a ring, with their heads all one way, and run 
rouna and round in a circle for a considerable 
time ; or one may be seen by itself pushing before 
it a large globule of mucus, or blood, many times 
heavier than itself, for several minutes together. 
One peculiarity is observable in all of them, and 
that is an almost i±rsri*f**« tendency to move only 
straight forward, and they will seldom turn to go 
back even though they meet with an obstruction, 
but often attach themselves to it by the sucker and 
remain till they die. Very often they are seen to 
enter into combats, and a number of them will fight 
till only one is left alive. They will live for some 
hours out of the body, particularly if put in warm 
water in which their motions may be readily seen. 
The Zoospermes are not found before Puberty, 
nor usually in extreme old age. Many diseases 
also destroy them, and several drugs have the same 
power. In all cases where they are absent or 
destroyed, from whatever cause it may be, the 
semen cannot impregnate, though in every othex 
respect it may be quite perfect, and the vigor of the 
patient seem not in the least impaired. This has 
been proved by filtering ihem away, ami by destroy- 



THE MALE SYSTEM. 45 

ing them. The development of the Zoospermes it 
will be observed is strictly analogous to that of the 
ova or eggs in the lemales. Thus they are first 
found in the form of little granules, enclosed in a 
Vesicle which bursts as they become more perfect 
and allows them to escape. In some animals there 
is even a periodical development of them, similar to 
that of. the ova in the female, with which it usually 
corresponds. In such animals the Testes are small 
at other times, and increase in size at these periods 
because the Vesicles only attain their full, growth 
then. 

In tracing the semen from its source we find that 
the annimalcules are not developed till it reaches 
the Seminal Vesicles, and are sometimes not perfect 
till it has reached the Prostate Gland. In the Tes- 
ticles we never find the Zoospermes themselves, but 
only the Vesicles containing the granules, which 
gradually develop as it proceeds further on. 

The Testes may therefore be compared to the 
Ovaries, the Seminal Vesicles to the Graafian 
Vesicles, and the Seminal Granules to the ova. 
Some Physiologists consider the granules to be the 
ova of the animalcules themselves, but this we can- 
not yet decide, though it is certain the animalcules 
originate from them. 

The importance of these facts, in giving us a cor- 
rect knowledge of the nature and proper treatment 
)f many diseases of these organs, will be seen as 
we proceed, particularly when treating on Imp<?^» 
tence and Seminal losses. 

The actual process of conception is also made 

more clear from some of these details. For in- 

stance the tendency which the Animalcules have to 

tfiove only straight forward, is in all probability tne 

5* 



PLATE VI. 

Ik this plate is shown a case in which the right Tes- 
ticle had never descended into the Scrotum, and the man 
was said to have but one Testicle. 

In nearly all such cases there is a peculiar appearance 
of the Scrotum, which would lead any one experienced 
in such matters to judge the real nature of the case. 
The skin is very rough, or drawn together in numerous 
hard folds. It is also thick f and gives the appearance 
as if the Scrotum were solid. 

The Testicle itself is often larger in that position than 
in its natural one in the Scrotum. 



47 



Plate VI. 




43 THE WALE SYSTEM. 

reason wny they make their way up into the womfc 
from the vagina, and impregnate the egg. If k 
were not for this tendency, combined with their great 
motive power, the two principles could not be 
brought together. Their power of living out of the 
body for some time is also necessary to impregna. 
tion, because they may not reach their destination 
immediately. It is found that they will live in the 
female organs, when these are healthy, as long as 
twenty-six hours, and of course during any part of 
that time conception may take place. Sometimes 
conception may take place in a few minutes, and at 
other times not till as many hours after the associa- 
tion of the two sexes. It has been found on dissect. 
ing an animal killed ten hours after connexion, that 
the semen had not even then reached the ovum, 
though it usually passes into the womb almost im- 
mediately. 

It is evident from this how incorrect it is to 
speak of the moment of conception as if it were a 
period certainly known. No greater mistake *,«mld 
be made than to suppose that it always corresponds 
with the moment of connexion, because it may be as 
much as twenty hours after, or more. It is also 
evident from these facts why it is that conception is 
possible without actual connexion. If the semen is 
merely deposited in the external lips it may impreg- 
nate, because the animalcules may make their way 
from thence up to the womb. It is also of little 
consequence how the semen is deposited in the 
female organs, providing it be perfect, and this 
explains why it is that conception can be effected 
artificially, by merely injecting the semen in the 
female organs with a syringe, or otherwise, which 
has often been done. The mere presence of the 



THE MALE SYSTEM. 49 

male organ is in no way essential ; which is the 
reason why a certain mode of attempting to prevent 
conception often fails. It was also remarked, in a 
previous part, that sexual feeling in the female was 
not necessary to conception, and this will now be 
evident when it is recollected that the Animalculae 
move up into the womb by their own vital power. 
It is probable, however, that this feeling often con- 
duces to conception, by establishing certain favor- 
able conditions of the parts, and therefore that 
event is not so likely to occur during sleep or un- 
consciousness, though it is possible for it to do so. 

The old idea that it was only the odor or aura of 
the semen that ascended into the female organs and 
impregnated the ovum, is too unfounded and ob- 
viously incorrect to need refutation. 

The presence or absence of the Zoospermes ir.' 
the Female Organs, and other parts, is the chief 
evidence sought for in cases of alleged violation, 
because in such cases they may certainly be found, 
if the act has been committed, for as long as 
twenty-six hours after alive, and dead for almost 
any period if the fluids be dried. 

It is now generally considered that the Animal- 
cule is the true rudiment or germ of the future 
human being, which is supposed to be developed 
from it in the same way as the plant is developed 
from the seed ; or rather the human being is 
thought to be one of these Zoospermes developed to 
a more perfect form by the 'power of the egg in 
which it is placed. In proof of this we have the 
fact, attested by several observers, that when the 
egg breaks open, during its passage down the tube, 
from the escape of the germinal vesicle, one of the 
Animalculap if then present, always creeps in. In 



50 THE MALE -YSTEM. 

fac. it has been seen to do so, and we thus have a 
probable explanation of the origin of human life! 
if we suppose this minute being is the origin of the 
future human being. If they are truly sexual we 
may also have an explanation of the cause of the 
difference in sex in ourselves, as this may be 
dependent upon the sex of the Animalcules from 
which we originate 



Note. — The real cause of the difference in sex is now 
fully known, and is explained in a special chapter in the 
" Marriage Guide." It is explained there how either 
sex can be had at will, and how artificial impregnation 
can be effected, to cure sterility in those who are childless 



PLATE VII. 

Varicocele, falling of the cord, op dropped Testicle. 

This is a very common disease, and a very troublesome 
one. It will be seen how the veins are swelled and 
knotted, and how the Scrotum is stretched downward, as 
if a heavy weight were hung in the Scrotum. 

The Testicle itself is buried under the mass of fallen 
cords and blood vessels, and the pressure they exert, often 
causes the Testicle to waste away. 

The dotted line shows where the Scrotum should be, 



5X 



PART IT 



U1SEASES, MALFORMATIONS AND DERANGE- 
MENTS OF THE MALE SYSTEM 



It is of the greatest importance that every man 
ihould know sufficient of himself to be able to detect 
the various derangements of his system at the 
earliest possible moment, and that he should also 
know the proper steps to take for their prevention 
and removal. He who knows nothing of this kind, 
and goes to a physician only when he feels pain or 
inconvenience, will often find that he then cannot be 
benefited, the favorable moment, having gone by, 
unknown to him through his ignorance. Some of 
the most severe and dangerous diseases of the 
Testes, for instance, cause neither pain nor incon 
renience till they are considerably advanced. I 
6hall therefore give all the indications, that 3an oe 
relied upon, of each disease, and also the treatment 
to be pursued, making it in every case, as far a* 
possible, such as may be practised by the person 
himself. 



54 



PLATE VIII. 

Seminal Tiroes of the Testicle, with tie Epididymis and 

Vas Deferens. 
a a, a Lobules of the small Seminiferous Tubes, similar 

to the Convolutions of the Brain. 
b. The Rete Testis, a number of nearly straight Tubes intc 

which the smaller ones enter. 
e The Vasa efferentia, or larger Tubes, 12 or 18 in num 

ber, into which the semen passes from the Rete Testis. 

d. Plexuses, or conglomerations of the Vasa efferentia, 
which form a kind of head, almost like a small Testicle, 
called the Epididymis. 

e. e. The head of the Epididymis 
/. /. The body of the Epididymis 

g. An appendix of the Epididymis, called the aberans 

It is not always met with. 
h. The Tail, or Cauda of the Epididymis. 
t. t. The Vas Deferens, which is at first very much 

twisted, but becomes finally straight. 

From this view ifc will be seen that the small Seminal 
Tubes gradually verge into the large straight ones, called 
the Rete Testis, then into the still larger called the Vasa 
efferentia, and finally they all coalesce into one Tube, the 
Vas Deferens 




Plate VIE 

Seminal Tubes of the Testicle. 



T 



5G 



CHAPTER IV. 

THE PJSEASES, DEFICIENCIES AND MALFORMA 
TIONS OF THE TESTES, THEIR ENVELOPS, 
ANP THE PARTS MORE IMMEDIATELY " 
CONNECTED WITH THEM. 

As before remarked, the Testes are usually two 
in number, the one on the left side being lower and 
larger than that on the n^ht. But sometimes 
more than two appear to exist, and at other times 
only one, or perhaps none. The arrangement of 
one being higher than the other, when there are 
two, prevents them from being crushed together 
when the limbs are crossed, by allowing one to slide 
over the other. The internal structure of them 
having already been explained, it is only requisite 
further to describe their envelops and attachments. 

Immediately around each one is an envelop or 
membrane, called the Tunica Albuginea or Peri* 
testis, which surrounds every part, and also sends 
branches, or leaves, into the substance of the Testi- 
cle, so as to divide it to a certain depth, into lobes, 
or sections, /similar to the lobes of the brain, only 
of a triangular shape. 

The outside inclosure is called the Scrotum, or 
purse, and is the same as the skin of >he thighs. Il 
is divided vertically into two parts by a small 
ridge, called the Kapha, and is usually covered 
with hairs at puberty. Underneath the Scrotum 
we next find a reddish cellular membrane, called 
the Dartos, w lich makes a separate sack for each oi 



Muscles of the Male Organs, and Envel* 
opes of the Testicles. 




a < ig *V l 'T ly l y ?• The muscles of ^e root of the Penia 
4, 6. Muscles of the Anus, which are concerned in erection. 

Fig 2. The Different coats, or envelopes of the Testicles 
with the Vas deferens and Blood Vessels, forming the Sper- 
?*£? m' Which ascends through the inguinal ring at 11. 
7 The Testicle. 8. The Epididymis. 12. Shows the Var 
deferens ascending in the body. 



DISEASES OF THE TESTES, 51 

the two Testicles, which are separated fiom each 
other by a vertical membrane placed between them, 
called the Septum Scroti, which acts as a partition, 
and thus the two organs are perfectly unconnected 
with each other. The nature of the Dartos has 
beer a subject of dispute among anatomists, some 
considering it to» be merely a cellular tissue, and 
others thinking it to be a muscle. It is undoubted- 
ly partly muscular, and consists mainly of long 
fibres, which cross and interlace each other in every 
direction . It is the contraction of these fibres of 
the Dartos that corrugates or wrinkles the Scro- 
tum, as is well seen when sudden cold is applied to 
the external parts. Next under the Dartos comes a 
true muscular coat, called the Cremaster Muscle, 
or Tunica Erythoides, the use of which is to draw 
the Testicle upwards. This is derived from one of 
the muscles of the abdomen, and comes down 
through the abdominal ring, forming part of the 
sheath of the spermatic cord. The la». coat is 
called the Tunica Vaginalis, which is a true serous 
membrane interlaced with blood-vessels, and comes 
next to the Tunica Albuginea. 

In a healthy state the muscular fibres of the 
Scrotum are usually contracted, so as to draw the 
skin into folds and brace the Testes up against the 
Abdomen ; but during a state of debility, or from 
zreat fatigue, they become relaxed, so that the testes 
nang low, and pull upon the cord. It is an almost 
eertain sign of ill health when this relaxation of the 
^Scrotum occurs, at any period of life, and often 
its removal is the first indication of improvement 
In old people, and in those of a bad habit of body, 
his relaxed state becomes permanent. 

By inspecting antique statuary, it will be seen 



58 DISEASES OF THE TESTES. 

that the ancients were practically acquainted with 
this physiological fact, and they have accordingly 
accurately represented it in their worKs of art. 
The figures of all their men in healtn and vigor 
have the Scrotum invariably drawn up to the abdo- 
men, while those of old men, or sufferers, hang 
pendant. • 

As a general rule the muscles of the scrotum are 
independent of the will, or act involuntarily, but 
instances have been known of men who could make 
them act as they pleased. Some boys exhibit this 
power before puberty, being able to draw the Testes 
up to the abdominal ring, and let them fall again, 
but it is seldom this command over them continues, 
though one instance is on record. This man drew 
the Testes up into the groin, so as to form apparent 
ruptures, in order to escape being impressed intc 
the service. Being detected, however, he confessed 
the trick, and made an exhibition of his extraordi- 
nary power to the examining physicians. He 
could pull up either one alone or both together, and 
could also make one go up while the other was 
coming down ; in short, he had the same command 
over them as over his arms, and could move them 
as quickly. In another instance* a man, who was 
charged with being the father of an illegitimate 
child, endeavored to evade the responsibility by 
alleging he had no Testicles, and, therefore, could 
not be the father, but it was discovered that he 
could draw them up into the groin at pleasure. In 
a healthy state the scrotal muscles are brought 
powerfully into action during coition, so as to brace 
the Testes tightly against the Pelvis, and one cause 
of partial impotence in very weak or oW people, is 
the \wa of &*s power, ow ing U* «:Hi.«$k tW semen it 



DISEASES OF THE TESTES. 59 

not expelled with sufficient force. In children this 
relaxed or firm condition of these muscles is often f 
valuable indication of the state of their health. 

The form of the Testis is that of a somewhat 
Oattened oval, with one end a little larger than the 
other. The average weight is about one ounce. 

The Vas Deferens, or common Tube into which 
all the small ones are emptied, commences at the 
globus minor, or lower end of the epididymis, and 
then passes into the spermatic cord by which it 
enters the Abdomen, where its course has already 
been traced. It is altogether about thirty-two feet 
long. The sheath of the spermatic cord is com- 
posed of two coats, the outer one of which is veiy 
%m, like cartilage, so that the tube is not easily 
compressed ; the inner coat is a mucous membrane, 
similar to that inside the Urethra, This cord can 
be readily felt externally. 

This description of the Testes and their envelops, 
combined with that before given, will be sufficient 
to give a clear understanding of the various diseases 
and derangements to which they are liable, and also 
of the reasons for the line of treatment laid down. 
It will be seen that they are so placed, without the 
body, as to have no direct connection with any 
other organs, and they may, therefore, be removed, 
without any other part being interfered with. This 
operation, termed Castration, is sometimes necessary 
in certain diseases, and sometimes it is the effect of 
accident, or in some parts of the world of design. 
The removal of the Testes, however, in whatever 
way it may be effected, not only destroys the power 
3f procreation, but also interferes in a remarkable 
manner with the growth and functions of various 
otii^T parts of the systeit*, irom which it is evidem 



(50 DISEASES OP THE TESTES 

lhat ihey are necessary for the perfection of the 
individual's own system, as well as for the purpose 
trf bringing new beings into eyistence. 

ANOMALIES IN THE SIZE AND APPARENT NUMBBB 
OF THE TESTES. 

The usual size of the Testes is about that of an 
'nrdinary pigeon's egg, and their weight, as before 
stated, is about one ounce. Occasionally, however, 
they are seen much larger, and sometimes much 
smaller, and their weight may be also considera- 
bly greater or less than the average. I have 
seen them as large as a full size hen's egg, yet per- 
fectly healthy, and as small as marbles without 
being in any way deficient in power. This is im- 
portant to bear in mind in many cases that may 
come under the physician's notice. I have known 
men hesitate about marrying when the Testes w.ere 
very small, from fear that they would be deficient in 
power, and it was with difficulty they could be con- 
vinced to the contrary. In one instance of a young 
man aged twenty-six, they were no larger than those 
of a child of nine years old, yet his powers were 
but little, if any, inferior to those of persons gene- 
rally. After a great deal of hesitation, and much 
persuasion, he married and became the father of a 
large family. It is necessary to remark, however, 
that in these cases ail the other organs were of 
proper size, and that the sma! Iness of the Testes had 
existed from childhood, and was therefore a natural 
state. If they had decreased in size, after having 
been properly developed, it would have been very 
different. The falling away or wasting of the 
Testes, wbi«h follows na&ny diseases, and sometimei 
7 



DISEASES OF THE TESTES. 61 

takes place without any assignable cause, is usually 
a serious matter, and is nearly certain to be followed 
by a loss of power The injudicious use of certain 
drugs, particularly of Iodine, will frequently cause 
the Testes to waste, and so will the exhalations 
from some metals, as lead for instance, many work- 
men in whijh I have known so affected. In giving 
an opinion in such cases therefore, their previous 
history must always be known, as well as the con- 
dition of the other parts, and the physician will then 
nave but little difficulty in coming to a proper deci- 
sion. Sometimes one only will be small, and the 
other of average size, or one only may waste away, 
without injuring the other. 

An unusually large size of the Testes should 
always excite suspicion of its being the result of 
disease, and a most careful examination and inquiry 
should therefore be made. If they have always 
been of that size, or nearly so, from Puberty, and 
especially if the other organs are large also, there 
may be nothing to excite apprehension. The 
symptoms of the different diseases hereafter de- 
scribed should however be carefully studied, par* 
ticularly those that cause enlargement, as Hydrocele 
and Hernia Humoralis, for instance. I have 
known the Testes of a youth of fourteen to be much 
larger than those of most men, and yet perfectly 
healthy ; such cases of unusual development are 
not necessarily accompanied by extra power. 

In some instances the development of all tn 
genital organs is very tardy, owing to the slow 
growth of the Testes. I have seen a youth of nine* 
teen that was in every respec' in the same state of 
these parts, as when about seven years old. He 
was also but very little grown in other pans of the 



62 DISEASES OF THE TESTES. 

body, having the appearance of one about twelv* 
years old. In this case, there were perfect evil 
dences of sexual power, though slight, and all the 
parts were evidently healthy. It was therefore a 
case of torpid action, or retarded development, and 
I thought that in all probability nature could be 
aroused. I accordingly gave him directions to use 
stimulating lotions, with frictions and shampooing, 
and to have a stimulating diet, with regular warm 
bathing and plenty of out-door exercise. The effects 
of this practice was soon evident ; in less than six 
months an evident increase had taken place, both in 
the size of the parts and in the intensity of the sexual 
feeling. The external parts, which had previously 
been perfectly bare and smooth, like those of a 
child, became covered ; the voice assumed a more 
manly tone, the muscles were more solid, the mind 
more active, and manhood began to dawn. This 
improvement continued going on till he was twenty- 
one, when there was but little difference between 
him and other young men of that age. If this case 
had not been promptly and properly attended to, in 
all probability no further development would ever 
have taken place, and an early death would have 
terminated his imperfect existence. To what age 
an improvement of this kind is possible we cannot 
of course tell, though I feel sure it may be effected 
in older persons than is generally supposed, perhaps 
till nearly thirty. The younger, of course, the 
better. Several cases have been known of the 
Testes growing after twenty-six years old. 

Sometimes there appear to be Three Testicles* 
mnd possibly in some of these cases there may really 
be three, but more frequently one of the three 
bodies is either the epididymis, somewhat enlarged 



DISEASES OF THE TESTES. 63 

and much separated from the Testis, or else it is a 
email, tumor. Most of those that have been observ- 
ed in dissection have been small harmless tumors, 
existing from birth. Three perfect Testicles, how- 
ever, are occasionally found, but they are not 
always accompanied by any unusual sexual power. 

At other times there appears but one Testicle, or 
perhaps none, and I have known young men in the 
deepest distress from this cause. In some of these 
instances there is really but one organ, as has been 
proved after birth, and yet the individual has had 
full average powers. It is more often the case, 
however, that these deficiencies are apparent rather 
than real. Before birth the Testes are contained in 
the Abdomen, and they usually descend into the 
Scrotum in the last month. It sometimes happens, 
however, that the descent of one or both does not take 
place, and the individual then appears so far defici- 
ent. In these cases the power of the Testes is not 
impaired by their unusual position, but perhaps is 
often increased, and this has led uninformed persons 
to think that men sometimes had procreative 
powers vxithout Testicles, because they could not be 
found. A man once died in one of the London 
Hospitals who had long been noted as having no 
Testicles, and yet having all the usual powers. On 
dissection two perfect ones were found in the Abdo- 
men that had never come down, and thus the won- 
der was solved. These cases, however, are but 
rare. Dr. Marshall examined Ten Thousand eight 
Hundred young recruits, among whom he fou$d Jive 
in whom the right Testicle had not come down, and 
fix in whom the left had not ; there being but one 
man in whom both were not descended. 

It is mich better for the Testes to remain totally 



64 DISEASES OF THE TESTES. 

in the Abdomen than to descend only to the groin, 
as they sometimes do, because in the last position 
they are apt to be compressed, by the other parts 
crowding about them in the ring, and thus waste 
away. The imperfect or non-descent of the 
Testes must, however, always be considered an 
imperfection, and though it may not cause incon. 
venience, or loss of power, it is neverthelesi 
always to be feared. The Testis itself is as liable 
to all its different diseases while in these unusual 
positions as when in the Scrotum, and unfortunately 
cannot then be reached. The neighboring parts also 
become affected from it, and thus life may be lost 
from a simple affection which could have been 
completely removed, if the Testis had been in its 
natural position. 

In some instances the retained Testes desoend 
late in life, and if they then become fast in the 
ring great swelling and severe inflammation may 
result, with ultimate wasting away of the organs. 
Such cases have been mistaken for ruptures, and 
some men, from want of information, have thought 
that the Testicles really growed at that time, all at 
once. 

When there are really no Testicle from birth, 
there is always an imperfect development of the 
whole system, and a total absence of sexual power 
or feeling. 

In some animals it is natural for the Testes 
never to descend, but always to remain in the Ab- 
domen, and in others they descend only at certain 
seasons, that is, when they attain their periodical 
development, owing to the full growth of the am> 
malcules. 

It is stated on the authority of severa 1 travel) era, 
1* 



DISEASES OF THE TESTES. 65 

chat there is a tribe of Hottentots at the Cape of 
Good Hope that never have but one Testicle ; but 
many natirralists think that more likely it is a cus- 
tom among them to remove one in youth. It is 
quite possible, however, that this deficiency may be 
natural, and it is not in any way more singular 
than many peculiarities observed in the genital 
organs of the females of those tribes. I have known 
two brothers; twins, one of whom had three Testes 
and the other but one. 

In some instances the two Testes have been found 
grown together 9 so as apparently to form but one, 
owing to absence of the usual septum. 

The Testicles are sometimes drawn so close up 
against the abdomen, owing to a contraction of the 
cremaster muscle, that they cannot be discovered 
without close examination, and are then often 
thought to be absent, though they are quite perfect, 
and even outside of the body. Medical men have 
even testified that there were no Testicles, in such 
^ases as these, which shows the necessity for a 
close and thorough examination of such apparent 
monstrosities. 

This state of things is not dangerous in itself, but 
t ad better be removed if possible, because the Testes 
are likely to adhere to the neighboring parts and 
waste away, so as to cause perfect* impotence. A 
surgical operation is necessary to liberate them, 
which is both difficult and somewhat dangerous. 
In some few dissections the Testes have been found 
completely absent, and without any trace of their 
having existed. Sometimes the Vas Deferens ex- 
ists by itself, and sometimes with the Epididymis, 
though at other times there are no traces of either. 
These cases of total ccngeni v al absence are, how 



66 DISEASES OF THE TESTES. 

ever, very rare, and are always indicated by defi. 
ciencies in other parts of the system. 

In some rare instances the Testes haVe descend- 
ed into the Perineum, instead of the Scrotum, bui 
most probably from some imperfection in the parta 
bout the Perineum and Scrotum. 

In the course of my practice I have been con- 
sulted in many of these cases of Testicular anoma- 
lies, and have often hud the pleasure* of removing 
unfounded apprehensions, and of giving happiness 
and confidence to those who had previously been 
the victims of hopeless despair. 

HYDROCELE, OR DROPSY OF THE TESTICLES. 

This is sometimes called a swelled or watery 
Testicle. Properly speaking, this is but seldom an 
affection of the Testicles themselves, but of the 
Scrotum in which they are contained. There are 
three kinds of Hydrocele ; first, that in which the 
fluid collects in the substance or tissue of the Scro- 
tum ; secondly, that in which it is secreted by one* 
of the coats of the Scrotum ; and thirdly, that 
in which it collects in the spermatic cord. 

First Variety of Hydrocele, — This is scien- 
tifically called Hydrocele (Edematodes, and it ig 
usually connected with general dropsy, or ariset 
from the treatment of some of the other varieties. 
It is, however, but seldom met with, and rarely 
arises of itself. In some cases it has been brought 
on by wearing an improperly-constructed truss, by 
blows, or even by tight clothing, but much more 
frequently it is only a consequence of some othei 



PLATE IX. 

A case of Hydrocele laid open 
Fig, 1. a. The Penis much, contracted. — b. The Scrotum 
c. The Testicle.—*?. The Vas Deferens.— e. The cut 
edges of the Scrotum and the different coats.—/. The 
Tunica Vaginalis, which, it will be seen, is double, from 
being reflected over the Testicle, which is on the out- 
side, of it. — g. Is the water, which is between the two 
folds of the Tunic. — h. The Spermatic cord. 
Fig. 2. External appearance of the Hydrocele, showing 
the veins also in a case of Varicocele. 1. The dis- 
tended Vein. 
Fig. 3. Wasted Testicle. 1. Shows the left Testicle 
perfect. 2. Shows the right Testicle wasted away, &§ 
it often does from masturbation. 



DISEASES OF THE TESTES. 69 

disease, particularly dropsy of the abdomen, which 
is likely to extend to the Scrotum, In this form of 
disease the Testicle is usually softish at first, and 
when pressed the mark of the ringer remains of a 
white color for some time after. As it progresses, 
however, the Scrotum becomes harder, and perfect- 
ly smooth, the Penis enlarges, particularly at the 
prepuce, and in very bad cases the skin inflames 
and sloughs away. 

The treatment of this form of Hydrocele must 
vary somewhat according to the conditions under 
which we find it. If it results from general dropsy 
it can be cured only by the removal of that, and 
will require but little local treatment. If there be 
my injurious pressure it must be immediately 
taken away, and frequently the doing so will effect 
an immediate improvement without anything further 
being done. 

The local treatment, after attending to the above 
directions, must consist of frequent bathing with 
cold alum water, one ounce to a pint, or of simple 
cold waier. A suspensory bandage must also be 
worn constantly, except when the patient can 
remain perfectly still, without standing too long. 
The bowels must be kept free, and but little fluid 
drunk. The following mixture may be taken for 
four days, and then omitted four days, and so on 
alternately till it has been taken twelve days in all, 
umess the swelling is obviously going down after 
the first four days, which it will often do, in which 
case it need not be continued. H. Hydriodate 
of Potassa, thirty-six grains, Distilled water, one 
ounce. Dose, ten drops, morning and night, in 
half a tumbler of water. 



70 DISEASES OF THE TESTES 

Second Variety of Hydrocele. — This is usually 
called Hydrocele of the Tunica Vaginalis, the fluid 
/being secreted by the inner ooat of the Testicle, 
and, therefore, contained in the cavity of the Scro- 
tum. The swelling is observed on one side only, 
in most cases, like a smooth egg or pear-shaped 
tumor, of a natural color. It begins at the bottom 
of the Scrotum, and gradually progresses upwards* 
until it sometimes reaches the top and presses 
against the abdomen. It is quite soft to the touch 
at first, and the fluid may be distinctly felt to fluc- 
tuate or shift its position as the tumor is moved. 
As the disease progresses, however, it becomes 
harder, and does not fluctuate, and in form it 
becomes more decidedly oblong. 

From the above description, it will be seen that 
this form of Hydrocele is easily distinguished from 
that previously described, because in this the swell- 
ing is observed on one side, and commences at the 
bottom, while in the other it is diffused more or less 
over the whole Scrotum at once, and is evidently in 
the skin, or cellular tissue. Sometimes, it is true, 
both halves of the Scrotum may begin to fill up 
with fluid, but even then each one is sufficiently 
distinct from the other for both to be distinguished, 
and for the nature of the affection to be readilv 
seen. 

A very good way to examine a Hydrocele is to 
place a candle behind it and look in front, when 
it will usually appear semi-transparent, and some- 
times so perfectly so that the Testicle may be dis- 
tinctly seen in the middle of the water, like the yelk 
of an egg in the midst of the white. When the 
Testicle cannot be seen in this way, it is often dif- 
6oult to find it, and its position can only be ascer 



DISEASES OF THE TESTES 71 

mined by a hardish feeling in the back part of the 
•welling near the top. 

* The quantity of fluid secreted in some of these 
eases is very great, as much as six quarts having 
been removed by Mr. Cline, from Gibbon the great 
Historian. There may, however, be but a small 
portion, and it may remain for many years, or even 
during a person's life, without increasing, though 
the probability is against this, and in some cases it 
increases very rapidly. 

It is singular also that even in some very bad 
cases there is but little distress, and, except from 
the inconvenience of its weight and size, many 
patients suffer but little annoyance from it. 
Sometimes, however it causes an annoying sense 
ef uneasiness and pressure in the Testes and groin, 
and occasionally even produces numbness of the 
limbs. When very large the Penis is drawn into 
the swelling, so that it appears smaller, and ita 
erection becomes difficult and painful ; the sperma- 
tic cord is also pulled down, and becomes tender, 
and the motion of the limbs is much interfered 
with. 

There is not much to be feared from a Hydrocele 
of this kind, if the general health be good, unless it 
be complicated with a real swelling of the Testicle, 
the case then becomes very difficult, and nothing 
can be done till the Testicle itself is cured. I 
have known a man of sixty years of age who had a 
Hydrocele from the time he was fourteen ; it was 
of a considerable size, but had never much in- 
commoded him, nor in any way interfered with his 
health or functions. The difference in the symp- 
toms of a Hydrocele and a swelled Testicle will be 
pointed out in the article on Sarcocele. 



VI DISEASES OF THE TESTIS. 

The causes of this form of Hydrocele are but littb 
known. It is undoubtedly brought about in some 
cases by injuries, such as blows, pressure upon the 
saddle in horse-riding, and by badly made trusses 
Too much standing will also dispose to it, par 
ticularly in those with a relaxed state of the muscles" 
In general, however, it results f jm some constitu. 
tional tendency, the nature of which is unknown 
and which cannot be ascertained before me effect is? 
produced. In most instances, its beginning is 
altogether unknown to the patient, and it progresses 
so slowly and insiduously, that an advanced stage 
may be reached before anything wrong is suspect- 
ed. I have known young men suppose it was 
merely a natural increased growth of the parts. 

The Treatment. — In the early stages it is some- 
times sufficient to use cold lotions two or three timea 
a day,. as prescribed for the first variety, particular, 
ly that of alum. Frequent cold bathing, in addi- 
tion, will assist, and, if the bowels be kept free and 
but little fluid be drunk, the Hydrocele will occa- 
sionally go down considerably, or even disappear 
altogether. I would advise any one to continue this 
simple treatment even if it only arrested the disease, 
for though it might not positively cure, at first, still. 
if it keeps matters from becoming worse, nature her- 
self may work a cure in time. I A suspensory band- 
age should be worn form the very first, and as much 
rest should be taken as circumstances will allow* 
After using the simple alum-wash foi some time, if 
the swelling still continues, the following lotion may 
be applied instead, night and morning. 

R. Powdered Peruvian Bark, one ounce; boiling 
water, one pint. Boil these for ten minutes and then 
add, when cold, half a pint of *oirits of Camphor, 



DISEASES OF THE TESTES. f3 

This is, perhaps, the best lotion that ever was 
ased for this purpose, and has done more good than 
all others put together. The parts should be batned 
with it for a6out ten minutes before the suspensory 
Dandage is put on in the morning, and for the same 
time after it is removed at night. 

In some cases the following wash has been found 
to succeed even where the other did not. 

££. Sugar of Lead, one ounce ; Laudanum, & 
tea-spoonful ; Water, one pint. 

This is to be used as a lotion, the same as the 
other, and both must be applied cold. 

Very little can be done by internal medication,, 
except to keep the bowels free, though occasionally 
the following recipe may assist. 

R. Vinegar of Colchicum ; Vinegar of Squills-;; 
and Nitric Ether, of each half an ounce — to b& 
mixed. Of this mixture a tea-spoonful may be- 
taken in a drink of water, three or four times a 
day. Frequent bathing, and clothing the body, 
warmly are also beneficial. 

When all these means fail, however, a& they too 
often do, some kind of operation must be resorted 
to, either to give temporary relief or with a view to 
cure. It is customary, for the first purpose, to* 
puncture the sac of the Scrotum with a sharp 
instrument and let out the water. If nothing more 
be done than simply letting out the fluid, it will 
usually fill again, though occasionaliy it Soes not. 
To effect a perfect cure the Scrotum is injected' 
through the same wound, after the fluid has all 
escaped, with some astringent solution. Cold water 
only is used by some practitioners, but more fre- 
quently a mixture of two parts port wine to one of 
water. Solutions of Iodic a, and of Hydriodato of 



74 DISEASES OF THE TESTES. 

i otassa have also been used, and in some eases the 
same fluid that was discharged, but the port win^ 
.and water appear to act the best of any. 

The manner in which this injection appears to 
effect the cure is this , it excites a considerable 
degree of inflammation in the Testicle, and also i© 
the coats of the Tunics, so that they grow together, 
and in this way the cavity in which the water occu 
jmulated is entirely obliterated. 

In most cases, if properly performed, this opera- 
tion is quite successful, causes but little pain, and 
is perfectly free from danger. In some instances, 
however, it is unsuccessful, owing to the fluid not 
being well injected, and occasionally there is much 
more inflammation caused by it than what is desi- 
rable, attended by serious constitutional irritation. 
The puncturing instrument, and the tube to convey 
the fluid, must be very carefully introduced, so as 
not to injure the Testicle, but they must also be 
carried sufficiently far to ensure all the water being 
discharged. The proper place to make the punc- 
ture is nearly at the bottom of the Tumor, behind ; 
the fluid may remain in about five minutes, and 
about as much must be injected as was drawn out. 

Sometimes a difficulty occurs in this way ; after 
the fluid has escaped the Tunica Vaginalis draws 
together, so that the opening into it does not corres- 
pond with the opening outside, and if the instrument 
has become displaced, before the injection is thrown 
in, it is difficult again to introduce it. Tn fact, it ii 
better, if this occurs, to leave off till another day, 
and operate again, for the attempt, if too often 
made, '.may cause serious and useless inflammation. 
There is also danger, if the instrument is put in 
again, that it may not go into the canity, but merely 



DISEASED OF THE TESTES. 75 

into the substance of the skin, and the fluid is then 
thrown into the cellular tissue, and not only does no 
good, hut may even remain, and produce a real 
dropsy of the Scrotum, or Hydrocele (Edematodes, 
the same as described under the head of the fast 
variety. 

In fact, some Surgeons purposely perform the 
operation in such a way as to change the Hy- 
drocele into a simple dropsy of the Scrotum, by 
letting the fluid into the cellular tissue, by simply 
introducing a needle. The new disease is certainly 
more easily cured than the former one, and the 
pressure of the water on the Scrotum often prevents 
any more being secreted in the Tunic, but still in 
many cases a cure is not effected, and sometimes is 
made more difficult. [ would much rather advise 
the total discharge and injection. 

This operation is very simple and successful in 
skilful hands, but often fails from want of skill or 
proper care. If too much inflammation follows, 
poultices must be applied and other simple mean* 
used to subdue it, and the patient must keep still 
It must be borne in mind, however, that con- 
siderable inflammation is necessary, to effect a cure. 
I once knew a man who operated upon himself 
with a common penknife and a small catheter. He 
effectually discharged all the water, but knew 
nothing about injecting anything in return. At the 
end of two years there was but little accumulated 
iga'.R, and he thought so little of what he had done, 
that he said he should always repeat the operation 
himself, as often as might be necessary. 

It is sometimes necessary to do this to young 
children, and it must be remembered that in 
them the Testicle is much lower than in adulU, 
8* 



*T6 DISEASEf OF THE TESTES. 

• 

Red greater care is, therefore, needed not to 
wound it. 

A simple dressing of mild ointment, tr even of 
wet cloths, is all that is needed after the injection is 
withdrawn. 

Some practio.* n rs have used Setons, and other* 
Galvanism, to cure Hydrocele, but though each 
method has been successful in some cases, yet they 
are not more so than the injection, which is much 
more simple, and causes much less pain. Either of 
these methods may, however, be tried, if that fells. 

After the water is drawn off, the Testicle should 
be carefully examined, as it can then be readily 
felt, because if there be any swelling of it, or any 
indications of cancer, the injection must not be 
thrown in till that has been benefically treated. 

In some persons the water will accumulate in 
spite of all, and it is necessary to discharge it fre- 
quently. In infants it will often disappear spon- 
taneously, without any treatment, but it rarely does 
so in adults, though I have known some in whom 
brisk exercise aloL<3 would disperse it. 

Sometimes this form of Hydrocele is congenital 
or exists from birth. In these cases the fluid 
descends from the Abdomen, the opening between 
it and the Scrotum, by which the Testicle descend- 
fed, not having closed. Many persons have been 
deceived by this affection, and have taken it for 9 
rupture, but a little careful examination will sood 
disclose the truth. By gently compressing toe 
tumor the fluid will rise into the Abdomen, through 
the ring, and return again when the pressure is 
withdrawn. To a certain extent this trouule i* 
more general than is supposed, and is frequently 
ascribed to wrong causes. It is advisable to hav* 



DISEASES OF THE TESTES. 77 

it attended to as early as possible, because there is 
danger, if left over the first month, of its continuing 

• during the whole of childhood, or perhaps even till 
adult age, and leading to other derangements. 

In the early stages, and sometimes even after it 
has existed long, it is possible to cure it in a very 
•imple manner. The water must be gently pressed 
oack into the abdomen, and then a truss or bandage 
of some kind must be worn, so constructed that the 
pad will press exactly on the ring, and thus prevent 
the fluid from returning. In a short time the pas- 
sage grows up, and there is then no further danger. 

* The period required to effect a cure varies much in 
different cases ; thus in some it will be complete in 
two or three weeks, while in others it requires as 
many months, or even much longer. Cold lotions 
must be used in these cases as with adults. 

In case of failure, with these means, which will 
sometimes happen, the only other remedy is the 
injection, the same as already described. The 
operation is precisely' the same as for an adult, but 
must be conducted with more care, there being 
more risk of serious inflammation. It must be 
recollected also that while the injection is being 
made the upper part of the Scrotum must be held 
firmly together, just by the ring, to prevent the 
injected fluid from passing up into the Abdomen, 
which it would otherwise do, and perhaps cause 
serious trouble. A truss or bandage must be worn 
for some time after the operation, to prevent any 
more fluid coming down, and also to retain the 
bowels in their place. 

Third Variety of Hydrcele. — In this form of Hy- 
drocele, as already explamea, the seat of the watery 



T8 DISEASES OF THE TESTIS. 

effusion is not in the Scrotum, but in the Spermatic 
Cord. It may occur in two ways, first in the sub- 
stance, or cellular tissue of the cord ; and secondly, 
within certain cavities in the sheath or tube itself. 

The first form of Spermatic Hydrocele is very 
rare, and is but seldom of much account. It is of 
similar in its nature to the first form of Hydrocele 
in the Scrotum, or Hydrocele (Edemaiodes ; in fact, 
it is the same disease only confined to the sheath of 
the spermatic cord. Its causes are also in all 
probability the same, and it requires the same 
treatment. When it results from general dropsy, 
which is usually the case, no cure can be expected 
until that is remedied. 

The palliative treatment must consist in wearing 
a bandage and using cold astringent lotions, and it 
is but seldom that anything more is required. 
Occasionally, however, the swelling becomes so 
great as to cause serious inconvenience, and the 
patient insists upon having relref immediately. 
Under such circumstances the only mode of pro- 
ceeding is to open the swelling, and so let the fluid 
escape. There is, however, some danger in this, 
and in most cases it is better not to perform the 
operation. Many persons have mistaken this affec- 
tion for a small hernia, or a swelled vein. 

The other form of Spermatic Hydrocele is 
usually termed Encysted Hydrocele of the Spermatic 
Cord, because the fluid is contained in one or more 
sacs. The swelling in this case is in the form of 
an egg, and situated between the Testicle and the 
groin. It is usually firm to the touch, with no 
fluctuation, and perfectly distinct from the Testicle, 
which may be felt below it. Sometimes the sac 
of fluid is near to the ring and can be pressed up 



DISEASES OF THE TESTES. 79 

into tke Abdomen, so that it will disappear, but 
only to return immediately the pressure is with- 
drawn. In such cases it may easily be mistaken 
for a hernia or rupture, unless proper care be 
taken. On examination, however, it will be found 
that the vessels of the spermatic cord can be dis- 
tinctly felt even when the tumor is down, by merely 
pressing it on one side, which is not the case ir 
rupture. The functions of the bowels also are not 
interfered with in Hydrocele, while they are very 
much so in Hernia, when it is down. 

Occasionally the watery tumor descends much 
lower than usual, and may then be taken for 
Hydrocele of the Tunica Vaginalis. It is only 
requisite, however, to remember that when the fluid 
is contained in the Scrotum it surrounds the Testicle^ 
which can scarcely be felt through it, but when it 
is contained in a sac, in the sheath of the cord, it 
is always either above or on one side of the Testicle, 
which is quite separate from it. 

The treatment should consist at first in fomenta- 
tions, as directed for the other varieties, and in 
keeping the bowels perfectly free. This plan is 
the best one with children, who are often afflicted in 
this way. A mixture of two parts alcohol and one 
of water, is very good to use night and morning, or 
either of the recipes already given. With regard 
to internal medicines, they are perhaps less proper 
in this variety than in either of tke others, but if 
thought necessary there are none better than those 
before advised. 

Sometimes, especially in children, a small punc- 
ture may be made and the fluid let out, but in 
adults this is often of little use, as the sac fills up 
again. To prevent this the port wine injectior 



SO DISEASES OF THE TEST 

must be used, or the sac must be fairly cut miL 
Some practitioners merely lance it open the whole 
length, and Sir Astley Cooper was accustomed to 
insert a Seton, a plan which I have known to suc- 
ceed frequently, both in children and adults. The 
particular plan to be pursued must, however, de- 
pend upon the circumstances of the case, and I 
should advise every one to hesitate about submitting 
to any operation, if they can keep tolerably com- 
fortable, and get no worse without it, which they 
nearly always can if they will persevere with the 
simple directions' given, and wear a suspensory 
bandage. 

In children the following lotion, applied freely 
two or three times a day, will in mo.st cases cause 
the water to disperse without any further treatment. 

R. Hydrochlorate of Ammonia, one ounce ; Dis- 
tilled Vinegar, four ounces ; water, six ounces. 

The same lotion, with half the water, will also 
be excellent for adults. 

6ARCOCELE, OR CHRONIC FLESHY SWELLING OF THE 
TESTICLE. 

This affection is the real swelled Testicle, or 
chronic fleshy enlargement of the substance of that 
organ. 

The causes that lead to this enlargement are 
various, and some of them not yet understood. Can- 
cer and Scrofula are perhaps the two most frequent 
causes, but it often arises when they do not exist, 
and when no other immediate agency can be 
detected. Sometimes a chronic swelling will take 
place in the Testicle, and after existing for a con- 
siderable time, entirely disappear wifhout any evil 



DISEASES OF THE TESTER. 81 

consequences. More frequently, however, the re* 
8ult is more serious and a malignant tumor is evr 
tually developed, either Cancerous, Scrofulou, 
Sarcomatous. 

Sarcomatous Tumors are of various kinds, ano 
are the same in the Testicle as in other parts of the 
body. The most frequent kind, is that called 
Medullary, because it resembles the substance of the 
brain. It is a most dangerous affection, and unless 
attended to at the very earliest moment is nearly 
sure to be fatal. The whole substance of the Tes- 
ticle is converted into a kind of white pulp, similar 
in appearance to the brain, and in a short time the 
disease is propagated along the absorbents till it 
attacks all the neighboring parts. The glands in 
the groin soon swell to an enormous size, and 
slough and bleed, and eventually the lower part of 
the abdomen becomes affected in the same way till 
the parts are all destroyed and the patient sinks. 
This is thought by some to be the same disease as 
Fungus HcB7natodes, and in many respects it closely 
resembles Cancer. There is, however, sufficient 
difference between them to enable the surgeon to 
distinguish with ease, but to the patient the distinc- 
tion is of little consequence, each being equally 
dangerous, and the treatment being the same for 
both. 

Sometimes the mistake may be made of con. 
founding Sarcoma with Hydrocele, unless a strict 
examination be made. In Hydrocele it must be 
recollected the swelling begins at the bottom, and 
gradually extends upwards to the abdominal ring, 
but no farther ; it is also semi-transparent, and 
fluctuating. In Sarcoma,- on the contrary, the , 
swelling is evidently in the whole substance of the 



82 DISEASES OF THE TESTES. 

Testicle at once, and extends upwards into the 
spermatic cord ; it is also not in the least transpa- 
rent, and is much heavier than water. From want 
of attention to these points of difference the swelled 
Testicle has often been punctured, to let out the 
water. 

Cancer in the Testicle is precisely the same in its 
origin and progress as in any other part of the 
body. The Testicle becomes the seat of a hard 
tumor, through which dart deep-seated lancinating 
pains, which shoot up to the loins, and down the 
limbs. Eventually this becomes an open sloughing 
ulcer which destroys the substance of the organ and 
gradually extends to the abdomen, causing a pro- 
fuse offensive discharge and a rapid impairing of 
the general health. 

Scrofula of the Testicle. — This disease is scarcely 
ever met with except in those who plainly exhibit 
a scrofulous habit of body. It causes a swelling 
of the Testes similar to that of Cancer in its feel 
and appearance, but unaccompanied by any of the 
lancinating pains. When the tumor is cut into, it 
seems filled with a whitish or yellow substance like 
curds or soft cheese, along with a small quantity of 
pus. The commencement of this affection may be 
very slow and insidious, and for a long time, even 
after it has become fully established, nothing seri- 
ous may be indicated. There is nothing to alarm 
the patient much till the tumor breaks open and 
becomes an ulcer, its progress then is often very 
rapid, and all the neighboring parts speedily become 
diseased and destroyed. 

The causes of that peculiar tendency to Scrofula 

i and Cancer w r h.ch many persons exhibit are as yp.i 

unknown to us, thev are, however, in all probability 



DISEASES OF THE TESTES. 83 

what is termed Constitutional, and not produced by 
any accidental agency after birth, though there 
may be many causes that will excite or call out 
these diseases, when they would otherwise have 
remained dormant, either for a longer time or per 
haps altogether. 

The Treatment of the various forms of Sarcocele 
above described may be given in a fev/ words, for 
unfortunately but little can be done with them. 

In some few cases of simple swelling, of the 
Medullary or fatty character, it may perhaps be 
dispersed, in the very earliest stages , by using 
Leeches and cold lotions or mercurial ointment 
externally, with mercury and iodine internally, but 
this can seldom be depended upon. Unless such 
means evidently decrease the swelling immediately, 
no further time should be lost with them or the 
chance may go by of doing good by other means. 
The removal of the Testicle, by an operation, offers 
the only chance of effecting a certain cure, and 
this is of no use either unless performed at first, for 
if the disease has progressed till the neighboring 
parts are attacked the removal of the Testicle will 
not check it. Unfortunately many patients delay 
having this necessary operation performed till it is 
too late, and they then conclude it is in itself of no 
use. It must be borne in mind that some of these 
cases are very rapid in their extension, and that the 
surrounding parts may be deeply affected without 
giving any sign of it. In Cancer especially it is 
necessary to operate as early as possible, for even 
when the Testicle itself shows but slight signs of 
the disease, it may have extended to the loins and 
abdomen. There have undoubtedly been many * 
oases of Sarcocele, of all the above kinds, that have 



34 DISEASES OF THE TESTES. 

been entirely cured by removing the Testicle, and 
have never appeared again 

In general only one Testicle is diseased, and that 
only needs removing, though there is danger of 
both becoming affected by delay. The operation 
itself is comparatively simple, and not attended 
with so much pain or danger as many might sup» 
pose it to be. 

It is very common, as before remarked, to find 
Saicocele accompanied by Hydrocele, and fre- 
quently on evacuating the water in Hydrocele the 
Testis is found enlarged, though there were prev 
iously no signs of it. 

It is generally conceded that blows or other 
violence may produce simple induration or hardness 
of the Testicles, leading to medullary or fatty 
tumors, but not to Cancer or Scrofula, though they 
may excite such diseases to break out. The too 
frequent irritation of bougies and injections is also 
suspected of injuring in the same way. 

FUNGUS OF THE TESTICLE. 

This affection is different from either of those 
previously described, though it has some resem- 
blance, at certain stages, to Cancer. It is for- 
tunately more capable of being beneficially treated, 
however, and is not so likely to extend to other parts. 

It is supposed to be caused by bruises or other 
violence, or by Gonorrhoea and Gleet, particularly 
wher injections have been used. The first indica- 
tion is a simple swelling without pain, which bursts 
and forms an abscess discharging pus, and from 
the opening a Fungus begins to protrude. This 
Fungus may attain an immense size, if not remov 



DISEASES 3F THE TESTES. 85 

fcd, extending to the abdomen and becoming very 
virulent. The discharge also may become so pro- 
fuse as to cause much general debility and con- 
stitutional irritation. 

In the first stages of the swelling, when it is 
known to arise from external violence, it may some- 
limes be reduced by Leeches, warm fomentations, 
and poultices, with purgatives used internally, and 
even after the abscess has opened fomentations and 
poultices may be sufficient to prevent any extension 
of the mischief. When the Fungus has appeared 
these simple means become useless, and resort must 
be had either to caustic or the knife to remove it. 
In my opinion the caustic is the best remedy, and 
seldom fails to remove the diseased growth without 
any injury to other parts. If the disease has not 
progressed too far it may often be cured without 
injuring the Testicle at all, though it was formerly 
thought necessary to castrate in every case, and 
some practitioners even do so now. 

I once knew a man who had one of these Fungous 
growths, arising from a bruise, who was cured by 
the daily use of powdered burnt alum, dusted over 
the Fungus, and followed by a warm Linseed poul- 
tice. This was done morning and night, and by 
these means only, combined with the use of simple 
purgatives, and the solution of hydriodate of potassa 
internally, as directed for Hydrocele, he fully 
recovered in about six weeks. The Testicle, how- 
ever, remained hard, and in all probability its power 
was lost. 

In all cases of bruising, or other violence, the 
timely use of rest, poultices, and warm fomenta- 
lions, may prevent many of these evils. 

There are several other kinds of tumors and 



S6 DSEASES OF THE TESTES. 

swelling? of tie Testicles occasionally met with, 
besides taese mentioned, but they do not differ essen 
tially either in their nature or treatment, and often 
it is scarcely possible to distinguish between them. 
One peculiar form of Canoer is frequently met with 
in England amongst chimney-sweeps, and is caused 
by the irritation of the soot lodged in the furrows 
of the Scrotum. It is met with sometimes, but 
rarely, on the hand, or foot. It is commonly termeo 
the Sweeps 9 Cancer. 

HERNIA HUMORALIS, ORCHITIS, OR INFLAMMATION 
OF THE TESTICLES. 

This sometimes appears to arise from some un- 
known constitutional cause, and comes on very 
slowly, but more usually it is from s>?me obvious 
agency, and assumes from the first an wcute form. 
It arises frequently from blows, falls, hard riding, 
and strains, but most generally from thp use of injec- 
tions and bougies, in Gonorrhoea, ana stricture, 01 
from the performing of operations like those foj 
Hydrocele. I have also known it to follow intense 
sexual excitement, where gratification was impossible 
and the semen had no tendency to escape invoiun. 
tarily. In children it very frequently follows, 01 
accompanies the Mumps. 

Inflammation of the Testicle usually commence*- 
with slight pain and soreness in the part, attendee 
by swelling, which is at first soft and yielding, but 
gradually becomes hard, and sometimes hot and 
very painful. The Scrotum loses all its roughness 
by swelling so much, becoming smooth ana red, 
and occasionally so tenier that it can scarcely be 
touched. >\s the inflammation progresses th« 



DISEASES OF THE TESTES. R7 

swelling extends up the spermatic cord, and severe 
pains may be felt in the loins, and sometimes eves 
in the limbs, till the patient suffers the most ex- 
eructating agony. 

In many, even of the most severe cases, but little 
pain is experienced and the inflammation will sub- 
side, under proper treatment, leaving no evil effects 
whatever behind. There is danger, however, of its 
being followed by abscess, or hydrocele, if neglect- 
ed, even if it does not excite tumor or Fungus. A 
loss of sexual power is also apt to follow inflamma- 
tion of the Testicle, either from its deranging the 
structure of the organ or from its obliterating the 
passage in the Vas Deferens, and thus preventing 
ever after the passage of the Semen from the Tes- 
ticles to the Urethra. 

Orchitis arises much oftener from Gonorrhoea than 
any other cause, the inflammation extending from 
the Urethra, along the Vas Deferens, till it reaches 
the Epididymis, and finally the Testicle. The 
Epididymis is always first attacked in these cases, 
and very frequently the disease extends no further, 
when it is called an Epididymitis. If it reaches the 
Testicle it is then called Hernia Humoralis. 

When the inflammation accompanies Gonorrhoea 
it will generally be found to arise whenever the 
discharge is suddenly checked, and immediately 
the discharge is allowed to return the inflammation 
ceases; This shows the close sympathy there is 
©etwee : the Urethra and the Testes, and what 
danger there is in irritating the Urethra in any 
way. I have known inflammation of the Testes 
arise in one hour after using a strong injection. 

The treatment of this severe affliction must con- 
sist, in the first place, in perfect rest, on the back 



88 DISEASES PF TH£ TESTES. 

the Scrotum being supported by a suspensory ban- 
dage, or truss. Cold lotions must be freely and 
frequently used, and the bowels opened freely with 
salts or castor oil. No stimulating food or drink 
must be taken, and the mind must not be agitated. 
nor the feelings excited in any way. The best 
lotion is a mixture of half a pint of water to half a 
pint of alcohol, with a large spoonful of laudanum 
added. If the pain be very severe this lotion may 
be made hot, or a hot linseed or bread poultice may 
be applied. A hot bath is also frequently of service. 

A perseverence in these means will usually 
reduce the inflammation and pain in one or two days, 
unless the exciting cause continues to operate- In 
very severe cases, however, particularly those from 
bruises, it may be necessary to apply Leeches, or 
to open some of the veins of the Scrotum, which 
nearly always gives relief if the blood flows freely. 
If the pain be so bad that the patient cannot rest he 
may take twenty or thirty drops of Laudanum at 
bed-time, in a little flax-seed tea or barley-water, 
or in simple water alone, if these are not to be 
obtained conveniently. The following pills are the 
best for this purpose, however, when they do not 
disagree with the stomach, which unfortunately 
they are apt to do, but they may be tried. 

R. Opium, with soap, twenty grains ; Camphor, 
half a drachm ; to be made up into twelve pills, with 
as much simple mucilage as may be requisite. One 
of these may be taken every six hours if requisite,. 

The following ointment, applied externally, may 
also give great relief from pain when the iotion 
tails to do so. 

R. Belladonna Ointment, two ounces ; Camphor, 
one drachm ; Paregoric Elixir, one drachm. 



DISEASES OF THE TESTES. P9 

This must be mixed into an Ointment, and a 
portion rubbed carefully over the tender parts, as 
often as the pain becomes severe. 

When the inflammation has been fully subdued 
there is danger of the Testicle being left perma- 
nently hardened, or indurated, which is nearly sure 
to destroy its power, if it does not originate other 
diseases. To prevent this, if the slightest hardness 
remains, it must be frequently bathed with hot water, 
and poulticed, or if these fail it must be rubbed 
with the Camphorated Mercurial Ointment. Galva- 
nism has been used with success when the hard, 
ness resisted all other means, and as it is a safe 
remedy, it may be readily tried. The only internal 
medicine likely to be of use is the solution of 
Hydnodate of Potassa, before directed, and even this 
should be but seldom taken. The regular use of 
the Camphorated Mercurial Ointment, followed by- 
hot fomentations, is the most generally successful 
treatment. 

The best remedy in some cases of acute Orchitis, 
particularly when arising from the sudden stoppage 
of a Gonorrhoeal discharge, is compression. This is 
effected by means of strips of sticking plaster, 
which are stuck firmly around the organ, and also 
passed underneath, the pieces being about a quarter 
of an inch wide, and long enough to go round and 
meet. These of course cross each other, and when 
drawn pretty tight, and made to adhere fast, they 
press considerably, and draw the whole organ 
together. The parts require to be shaved to apply 
them, and they must be re-applied as often as tney 
work loose, or as fast as the swelling shrinks. In 
most cases the pafei mt experiences great and im- 
mediate relief from this application, owing to the 



00 DISEASES OF THE TESTES. 

support it gives ; it must always be used, however 
with the suspensory bandao-e. 

Compression is, in general, only appropriate U 
cases of acute Orchitis arising from Gonorrhoea, 
though it may be advantageously resorted to, in 
some few instances, when it originates from other 
causes. 1 have used it when the swelling arose 
from intense sexual excitement, and also in one or. 
two instances from blows, and with advantage, but 
generally the treatment before given will obviate 
the necessity for compression, if it be persevered in. 
Latterly the compression has been effected by 
means of Collodion, a substance made by dissolving 
gun cotton in ether, which sticks much more forci- 
bly, and is applied more readily. 

The symptoms of Epididymitis are the same, 
and so is the treatment, as when the whole organ is 
attacked, which it is nearly sure to be eventually, 
if the Epididymitis continues. 

There is always reason to fear that a severe 
attack of Orchitis will permanently injure the Tes. 
tide, more or less, by obliterating some of the 
Seminal Tubes, even if it does not close the Vas 
Deferens, or harden the Epididymis. One Tes- 
ticle may, however, be inflamed, and suffer, while 
the other remains perfectly sound. After having 
been once inflamed the Testicle appears more sus- 
ceptible of the same misfortune again, so that 
those who have suffered from :'t should be as careful 
as possible to avoid subsequent attacks, or the evil 
effects will probably increase each time. Impotence 
not unfrequently follows Orchitis. 

Sometimes the inflammation ends in suppuration, 
the matter escaping by numerous little sinuses or 
openings, which eventually close and heal when ail 



DISEASES OF THE TfiSTES 91 

•is discharged. In all these eases, however, the 
Testicle is more or less wasted, and sometimes 
entirely destroyed. At other times the pus will not 
discharge at first, but assume the form of a firmisb 
curdy mass, similar to the substance of the brain 
and remain for a long time. The organ is then 
much more liable than before to inflammation, and 
its internal structure gradually undergoes a change 
by which its secreting powers are totally lost In 
some of these instances the Testicle becomes nearly 
as hard as a sione, and on being dissected appears 
much V.ke cartilage or bone. 

In some persons Acute Orchitis much resembles 
Rheumatism, being atfected by the changes of the 
weather or by exposure, and coming and going 
again in a short time. Indeed, some writers speak 
of it then as Rheumatism of the Testicle, and treat iv, 
the same as that affection in other parts of the body. 
I have known some men so extremely sensitive in 
this organ that an attack of Orchitis was sure to 
follow if they merely pressed the Testicles on 
crossing the limbs, and espsci'ally if they rode on 
horseback. In fact, many a severe case has arisen 
from being thrown forward upon the pommel of the 
saddle. 

Inflammation of the Testicle sometimes appeals 
in verv young infants, not more than a few days 
o)d^ and without our being able to assign any 
cause. I have thought sometimes that it arose from 
Teething, and at other times from an improper 
mode of carrying the child, by which these organs 
were bruised. I saw one instance wherein the in- 
flammation appeared on the day of birth, which wa^ 
very severe. In general, these infantile cases can 
be cured by simple iomentations, or cold lotions, 



92 DISEASES OF THE TESTES. 

with a dose or two of castor oil. When very severe 
a Leech may be applied, and three or four grains 
of the Powder of Mercury and Chalk given. TV her 
arising from Mumps it usually subsides when the 
primary cause is removed, though it may remain 
afterwards, and must then be treated as above 
advised. 

It is somewhat disputed among medical men 
whether these inflammations in infants ever perma- 
nently injure the Testicle or not, but I am persuad- 
ed they often do so, and, in all probability, many a 
man has been made impotent for life by this affec- 
tion when a child. It is, therefore, of the first 
importance not to neglect this trouble, though it 
may be but slight, as the after effects may be 
serious. 

• It is proper to remark here that the Mumps arise 
in adults as well as in children, and that they may 
affect the Testicles, and cause impotence, as well 
at one period as at another. Such cases as these 
afford a singular proof of that remarkable sympa- 
thy which exists between distant parts of the body, 
but the nature of which we cannot explain. 

Either of the following Recipes give excellent 
cooling lotions, applicable to all cases. 

R. Lime-water, one ounce ; Alcohol, seven 
ounces ; mixed together. 

R. Hydrochlorate of Ammonia, one drachm ; CoIJ 
Spring-water, five ounces ; Alcohol, one ounce ; 
mix together. 

The last lotion is an excellent one to apply to the 
Scrotum and Perineum. In many persons, how- 
ever, hot fomentations succeed much better than 
cold lotions. 

It is often very beneficial, particularly when tha 



DISEASES OF THE TESTES. 93 

pain is severe, to cause a little nausea or vomiting. 
For which purpose a quarter cf a grain of Tartar 
Emetic may be given every three or four hours, tiL 
the effect is produced. This frequently gives great 
relief, and in a short time, when all other means 
fail. 

In very obstinate cases, attended with pain, two 
or three grains of Calomel should be given, at bed- 
time, mixed with eight or ten grains of Dover's 
Powder. This may be given two or three times a 
week. 

It is sometimes a good plan to use the Plaster of 
Ammonia and Mercury to strap the Testicle with, 
in the manner before described, so as to gain the 
advantages of Compression and the effects of Mer- 
cury together. 

If the inflammation and tenderness al- subsides, 
but the swelling ix.id hardness continues, the follow,, 
ing solution may be rubbed over the Scrotum every 
three or four days. 

R. Iodine, one drachm ; Iodide of Potassium, half 
a drachm ; Alcohol, one ounce ; dissolve all together. 

In many persons, particularly those of a Scrof- 
ulous habit, Acute Orchitis has a tendency to 
assume the Chronic form, after the first severe 
symptoms have subsided, and this is perhaps a 
worse state than the other. In Chronic Orchitis a 
deposit of yellowish matter takes place, in different 
parts of the Testicle, at first soft but gradually 
becoming harder, till at last, the organ feels like 
a stone. This matter blocks up the Seminiferous 
Tubes and destroys their power of secretion, so 
that impotence ensues. It was formerly the custom 
lo call such cases Schirrhus, but this is improper, as 
it might lead to the idea that they assume a malig- 



94 HSEASUS of the testes. 

nam form, which is not the case. Chronic Orchu 
tis may either follow from the acute form, or it 
may arise spontaneously, like Scrofulous affections 
of other parts ; and it also frequently follows a 
long course of intemperance or licentious indui. 
gence, and may even be produced by the long con- 
tinued and injudicious use of Mercury. 

This form of the disease may give rise to but 
little inconvenience for a long time, though the 
swelling may be of considerable size, unless a 
blow, or strain be experienced, when the symptoms 
become immediately acute, and relief is sought for. 
Usually in a few weeks the swelling is observed to 
point in some particular part of the Scrotum, and 
eventually it breaks, discharging some pus, together 
with a Fungus-looking body, which appears rough 
and bleeding. In a short time the opening enlarges 
and more or less of the Testicle itself passes 
through, the whole forming a granulated tumor of a 
yellowish white color, studded with pale red or 
black patches. This tumor is tightly embraced 
round its neck by the edges of the opening through 
which it passed, and which become very thick and 
red. A thin watery discharge flows from it, often 
mixed with semen, but rarely with blood. 

As soon as this break occurs, and the parts pass 
through, great relief is felt, and the disease may 
remain for a long time without undergoing any 
further change. The tumor itself is rarely tender, 
but may be handled,, cut, or burnt with caustic, 
with but little inconvenience. It is not unusual to 
find this singular protrusion in Scrofulous children 
who have had inflammation of the Testicle. 

It was formerly the custom always to remove the 
whole Testicle when afliicted with this Fungous 



DISEASES OF THE TESTES. iJO 

growth, but now the practice is seldom resorted to. 
The protruding part is cut off with the knife, or 
burnt off with caustic, and the skin of the Scrotum 
being then brought over it the wound is healed and 
no further trouble is experienced. In many cases 
a cure is even effected spontaneously, or by means 
of a simple wash of six grains of Nitiate of Silver 
to one ounce of water, with some internal alterative 
medicine. 

The best medicine in Chronic Orchitis is Blue 
nil, Jive grains of which should be given every 
night, with one grain of Opium, till the gums feel a 
little sore. 

In some cases a better treatment is to administer 
the Compound Extract of Sarsaparilla internally, 
and sprinkle the Fungus itself with equal parts o r 
powdered savin and sulphate of copper. Occasion- 
ally varying the medicine by giving a little of the 
Wine of Iron, particularly if the patient be weakly 
and sinking. 

It must be admitted, however, that Inflammation 
of the Testicle is, in any form and under any mode 
of treatment, a disease extremely dangerous to the 
patient's sexual powers, though it may not com. 
promise his life, nor interfere much with his general 
health 

OSSIFICATION OF THE TESTICLE. 

In some few cases the Testicle has been known 
♦jo Ossify or become more or less converted into 
Bone. The causes of this degeneration are un- 
known, and unfortunately we know of no remedy. 
I have thought, in some few cases I have seen, 
that it was more likely owing to excessive con* 
\0 



96 DISEASES OF 1HE TESTES. 

tinence than anything else, but it is impossible t«t 
decide. 

The Ossification generally commences in the 
middle, and may be felt like a hard kernel, which 
gradually extends till the whole organ is affected. 
In all cases when a hardness of this kind is felt im- 
mediate resort should be had to fomentations and 
poultices, because it may be but a simple indura- 
tion which they will lemove. 

It is propable that Ossification and induration 
most frequently arise from Orchitis, particularly 
when there has been many consecutive attacks. 

ARREST OF DEVELOPMENT AND WASTING OF THB 
TESTES. 

The Testes, like other parts of the body, are 
liable to be arrested in their development, from 
causes unknown to us, and this arrest may cither 
be permanent or the development may be comple- 
ted at some after period of life. I have known 
instances of men, at various ages, with Testes 
remarkably small, and passions nearly dormant, in 
whom a sudden development took place from the 
sight of some female who excited their desires to 
an unusual degree. In all probability these per- 
sons would always have remained as they were > 
but for this occurrence, as many others similarly 
circumstanced do ; and we have thus a proof of the 
decided influence that the awakened feelings may 
have on physical development. 

In one instance where I was consulted, in a case 
of this kind, the left Testis was about the size of a 
small hazel-nut, and the other still smaller, the per- 
son being abou* twenty-eight, and possessing th* 



DISEASES OF THE TESTES. 9*1 

nsual feelings of his sex, though in a slight decree. 
Many circumstances induced me to think that the 
organs were healthy, and that in all probability 
their further growth would ensue, undei proper 
treatment, and from the new impetus given to his 
desires by his wish to marry. I, therefore, advised 
a stimulant plan of treatment, similar to that which 
will be directed in a subsequent article, and advised 
him to wait patiently. The result justified my 
opinion, the organs began to enlarge very soon, and 
in two years' time were of full average size, so that 
he had no misgivings whatever about marrying. 

It is very often the case that persons who had 
Scrotal Hernia in childhood have the Testei small, 
owing to the pressure on the cord of the instrument 
worn to cure it, and with some who have had 
Mumps their full growth is never attained. 

Any causes that prevent the full supply of blood 
from going to the Testes will prevent their growth, 
or cause them to waste, and it is from this cause 
that many such cases arise, If the spermatic 
arteries be small, which supply them with blood, 
they do not receive sufficient nutriment, and, there- 
fore, cannot grow nor secrete much semen. These 
arteries are very long, and exposed to several 
causes of injury as they proceed through the abdo- 
men, so that they frequently become more or less 
injured, and the Testicles suffer in consequence. 
Sometimes they are pressed upon by the other parts, 
n passing through the ring, and at other times they 
Jtr? affected by aneurism or their walls thicken 
and partly close up the passages. In old people 
the spermatic arteries are very apt to become more 
or Jess obliterated, and this is the chief cause of 
thai wasting of the Testes so often seen at that 



98 DISEASES OF THE TESTES. 

period of life. To fully prove this the spermatic 
artery of a dog has been tied, leading to sne of the 
Testes, and that in a short time was completely 
wasted away, while the other remained perfect. It 
has even been proposed to perform this operation, 
which is comparatively simple, instead of castration, 
when we wish to destroy the procreative power in 
animals. Such facts make it evident that the power 
of the Testes, and consequently the amative propen- 
sity of any man, depends materially upon the size of 
the spermatic arteries, probably much more so than 
upon any peculiar structure of the brain. It is cer- 
tain that if these arteries be destroyed in early life 
no amativeness can ever be felt, nor any procreative 
power be established. A knowledge of this fact 
teaches us that the extent, both of the power and 
the propensity is very much, if not entirely, under 
our control, if the supply of blood admitted to the 
Testes can be duly regulated. This is a point never 
before attended to in medical practice, that 1 am 
aware of, but I have satisfied myself of its correct 
ness by repeated experiments, and I look upon it as 
being of 'the greatest value. There are many 
means by whicli the amount of blood flowing to the 
Testes may be regulated to a great extent, some of 
them increasing and others decreasing it, as I have 
shown in many of the cases described. It is often 
the case that badly fitted Trusses, by pressing on the 
arteries, will cause the Testes to ivaste, while, on 
the contrary, an ill-made suspensory bandage 01 
even tight clothing, by chafing the parts, will drat* 
the blood to them till they are intensely excited. 
or even till inflammation ensues. This shows u» 
what principle to act upon in practice, adopting the 
appliances to the peculiar circumstances c* the cas*, 



DISEASES OF THE TESTES. 99 

Hot stimulant applications will bring the blood to any 
part, while cold astringent ones will drive it away % 
and these alone, judiciously used, will often aocom- 
plish more than all the internal medication, or mere 
moral chiding ever yet tried. Besides these, how- 
ever, there are various other means, mechanical 
and medical, which will be described as we pro. 
ceed, and sometimes instruments may be construct- 
ed, for special cases, that will eiFect almost miracul- 
ous results. 

I have sometimes used a modification of the 
instiument called the Congester, which will be de- 
scribed in a subsequent article, for the purpose of 
drawing blood to the Testes and of enlarging per- 
manently the spermatic artery. In short all the 
means resorted to for causing an increased flow of 
blood to the Penis may be used, to a certain extent, 
and in a modified form, to the Testes. As before 
remarked, I have had numerous patients, of all 
ages, whose Testes had always been too small and 
inactive for the performance of their functions, and 
yet, by appropriate treatment, most of them have 
attained their proper growth and full powers. 

Wasting of the Testes, after they have been of a 
proper size, is a much more serious matter, as it 
usually results from some disease that is likely to 
permanently destroy them, though occasionally the 
causes of it are under our control, and the loss may 
be repaired. In addition to all the causes above 
enumerated that prevent development, we may also 
enumerate Hydrocele and Hsematocele, of long 
standing, and also Scrotal Hernia, all of which may 
cause the Testes to waste by the continued pressure 
which they exert. Spermatocele will also lead to 
the same result as stated in the article on that dis. 
10* 



100 DISEASES OF THE TESTES, 

ease. Too long continued and strict continence will 
also waste the Testes, in many persons, notwith- 
standing what is said to the contrary by some 
writers. These organs can no more preserve their 
powers when entirely disused then others can, noi 
is it in any way conducive to their health to leave 
them totally inactive. I am aware that it has been 
said that those who take vows of celibacy still pre- 
serve these organs, and in full development, but 
that has very little weight because no one can tell 
what may have been the actual observance of those 
vows, nor how far involuntary action may have 
taken place. I am myself fully convinced, from 
numerous observations, that total inaction of the 
Testes, in every form, is most certainly followed, in 
most cases, by their wasting and decay. I have 
known men who boasted that they were strictly 
continent, and had been so for years without any 
apparent injury of this kind, but on proper ex- 
amination I have satisfied them that the semen 
passed almost constantly, in the Urine. It is scarce- 
ly necessary to say that such an action was unna- 
tural, and decidedly injurious. The assertion, 
made by some theorizing physiologists, that the 
semen, when not discharged, is absorbed into the 
blood and invigorates the system, is unsupported 
by a single fact, or even by plausible reasoning, 
and, therefore, requires no refutation. Many a 
man who has prided himself upon his immaculate 
purity, and denounced those who were unable or 
unwilling to totally abstain, has been himself the 
victim of a constant pollution, both unpleasant and 
injurious. I have here spoken openly and fully, as a 
medical man ought, and no one with common sense 
or honest intentions, can accuse me of encouraging 



DISEASES OF THE TESTES* 101 

anything approaching to licentiousness in what 1 
have said. True virtue consists in a proper use of 
those powers given to us, and not in their tota" t 
abrogation. 

There are several causes of a nervous character 
that will also lead to wasting of the Testes, such as 
paralysis of the lower part of the body, or injury 
of the spine in the neighborhood of the Nerves 
leading to them, and sometimes even long-continued 
anxiety of mind. The most frequent causes, how- 
ever, are probably Inflammation and the Mumps, 
particularly in early life. Excessive indulgence 
not unfrequently ends in gradual wasting, and Mas- 
turbation still oftener, especially if accompanied by 
intemperance in strong drink. I have known in- 
tense excitement followed by inflammation and 
subsequent wasting, in a very short time, and I have 
known inebriates wake from their dreams of in- 
toxication to find themse'lves impotent, in numerous 
instances. 

There are some drugs which exert an influence 
this way occasionally, and to a very marked degree. 
Mercury will in some, if long continued, so will 
Opium, and Iodine still more frequently, and 
decidedly. It is, therefore, the duty of the physi- 
cian to watch well the effects of all such remedies. 
Tobacco, I am satisfied, is decidedly injurious to 
many men, and when used to excess will impair the 
Cone and energy of these organs to a great extent ; 
in several instances [ have had good reason to 
attribute wasting of the Testes to its influence. 

Injuries of the head must also be enumerated as 
occasional causes of wasting of the Testes, though 
we cannot explain why. Several instances of the 
kind have been noticed, particularly by Army Sur- 



102 DISEASES OF THE TESTES. 

geons, and tne fact is established beyond doubt. 
Baron Larrey gives a remarkable ease, which came 
under his own notice. It was that of a soldier, a 
nealthy, robust man, with strong sexual propensities 
and endowments, who had a portion of the back 
part of his head cut off by a sabre wound. He 
recovered from the wound, but lost the senses of 
sight and hearing on the right side. Pain was also 
experienced down the spine, and a peculiar creep- 
ing feeling in the Testicles, which also began to 
waste, and in fifteen days were no larger than beans. 
He completely lost all desire for sexual enjoyment, 
and apparently even all remembrance of it. AC. 
Lallemand also mentions a case, of a French sol- 
diei, similarly injured in the expedition to Algiers, 
who speedily experienced wasting of the Testes, 
loss of sexual desire and all power of erection. 

Bruises of the Testes are nearly certain to be 
followed by inflammation and wasting, if severe, 
and few injuries cause more acute physical suffer- 
ing, or affect the system more generally. Sickness, 
vomiting, and death-like fainting generally result 
from bruises of the organs, and sometimes even 
delirum. Constant pressure, from almost any cause, 
even though slight, will also cause wasting, as is 
seen in many persons who pass much time on horse- 
back. It was even the custom formerly, in Tur- 
key, to make Eunuchs by squeezing the Testes 
instead of Castrating, and some persons operate 
upon animals in the same way now, when they 
wish to emasculate them, the squeezing causing 
them to waste away. Cutting these organs, with 
sharp instruments, so as not to bruise them, may 
not be followed by any evil effects whatever Many 
instances have been known of their beinu cut and 



DISEASES OF THE TESTES. 103 

torn considerably, both by accidents and during 
surgical operations, but with no detriment to their 
powers, unless inflammation or mortification has 
unsued. Fanatics and insane people have injured 
themselves in this way frequently. 

All that we can do in those cases of wasting of 
the Testes is to find out, if possible, the immediate 
or exciting cause, and remove it. Very frequently, 
however, no cause whatever can be ascertained, 
and often when it can be it is not under our control. 
Still no such case should be left unattended to, and 
its treatment, if any be thought advisable, should 
not be neglected a single day. 

TUBERCULAR DISEASE, OR CONSUMMATION OF THB 
TESTICLE. 

This is essentially the same disease as Consump- 
tion of the Lungs, being characterized by the pro- 
duction of Tubercles in the substance of the organ, 
which eventually suppurate and break, and entirely 
destroy its substance. In most instances, the pa- 
tients are either decidedly Scrofulous or evidently 
disposed to consumption, and generally both Testes 
are attacked, either together or consecutively. 

The symptoms are usually a slight uneasiness, 
in some particular part of the Testicle, which is 
soon followed by violent swelling, either in the 
body of the organ or in the Epididymis, but with 
very little acute pain, if any. The swelling feels 
uneven, or studded with little lumps, one of which 
eventually projects and bursts, discharging a quan- 
tity of pus, and thick curdy matter of a yellowish 
color. It may, however, be a year or more aftej 
ihe swelling occurs before it breaks, though when 



104 DISEASES OF THE TESTES. 

one opening is formed others are apt tf follow ■ 
The opening evidently communicates with the in* 
terior of the organ, and after venereal excitement it 
is not unusual for semen to flow from it, along with 
the pus. 

In some few cases the Tubercle will heal, and 
the wound close, leaving the Testicle only partially 
wasted, but more frequently they continue to dis- 
charge till it is all completely gone, or till the 
whole system is so affected that death ensues. Oc 
casionally the whole Testicle will pass through the 
wound, and will remain protruded till it is entirely 
gone. 

This affection occurs sometimes in children, of a 
scrofulous habit, and completely destroys the Testes 
in a short time. 

The treatment must depend upon many circum- 
stances, such as the patient's age, general health 
and habit of body, and mode of life. As a general 
rule it must be general, or calculated to act on the 
whole system, so as to induce a beneficial change 
in its action. The alterative medicines are there- 
fore most to be relied upon, as Mercury, Iodine, 
and Sarsaparilla, and in cases of tonic debility Iron 
must be administered. Attention to the diet, air, 
and climate, are also of the greatest importance. 
Consumptive people are always more or less liable 
to this affection, and I am persuaded that in many 
it exists sufficiently to impair the power of tns 
organ, and cause partial impotence when it does not 
proceed to the suppurative stage 



DISEASES OF THE TESTES. 105 



FOREIGN BODIES IN THE SCROTUM ALONG WITH TH1 
TESTICLES. 

Sometimes little round bodies like peas are found 
in the Tunics, composed of firm Cartilaginous mat. 
ter or bone. I have seen one as large as a marble, 
and hard as ivory. It is seldom there are mora 
than three of them. The origin of these bodies can 
only be conjectured, though they are probably only 
diseased secretions, like those sometimes found in 
the joints, which were first attached to the Tunics, 
and then became loose. 

Worms, Hydatids, and other living beings are 
very rarely met with, though they have been occa- 
sionally seen. 

i Tn some instances the Scrotum has contained the 
remains of a Fcetus, which had evidently descended 
from the Abdomen along with the Testicle. M. 
Velpeau communicated a case of this kind to the 
Academy of Science in the year 1840, in which 
he removed nearly all the parts of a Foetus from 
the Scrotum of a man aged twenty-seven. The 
patient had suffered from the enlargement from 
birth, but its character was not suspected till M. 
Velpeau performed the operation for its lemoval. 

(To understand how this inclusion of one Foetus 
tn another can take place, the reader is referred to 
" The Marriage Guide" if he be curious id such 
singular cases.) 

NERVOUS AFFECTIONS OF THE TESTICLES. 

The Testes, like other parts of the body, are sub- 
ject to several kinds of nervous affections, which 



10 f> DISEASES OF THE TESTES. 

frequently cause exquisite misery, though they 
may not lead to any positive injury. 

Irritable Test's. — This is a form of nervous dis» 
ease in which the Testis is in a constant state of 
peculiar uneasiness and irritation, rather than acute 
pain, though sometimes it is more painful in one 
particular spot. It is so exceedingly sensitive that 
the touching of the dress, or the mere rubbing of 
the Scrotum against the limbs, causes such distress, 
ing annoyance that the sufferer dislikes even to 
move. Sometimes the irritation extends up the 
cord, so that the movements of the bowels, or the 
passage of urine, become exciting causes, and the 
patient cannot even cough without an increase of 
his misery taking place. 

In some cases this morbid sensibility affects both 
Testes, and in others only one, which is usually the 
left. It does not appear to cause any alteration in 
the parts nor swelling, except occasionally a little 
fulness, particularly of the cord, and some relaxa- 
tion of the Scrotum. It is seldom that an attack 
passes off very soon, but more usually it lasts 
several months, during which the sufferer loses all 
relish for society, and almost all capability for en- 
joyment in any form. All his thoughts are fixed 
upon his sufferings, and the idea takes possession of 
his mind that he will never be better, or that he 
will be impotent or die of Cancer, and some request 
their physicians to castrate them, to avoid these 
dreaded evils. 

The causes of this distressing affection are partly 
constitutional, it being chiefly met with in those whe 
are naturally weak, irritable, and disinclined t6 
physical exertion, or in the hypochondrical and* 



DISEASES OF THE TESTES. 1 0? 

dyspeptic. It is however immediately produced, in 
most cases, by some derangement of the genital 
organs themselves, more especially such as are 
brought on by masturbation, excessive indulgence, 
or involuntary emissions. Young persons of a 
nervous habit and strong sexual feelings, are also 
liable to it while unmarried, and I have been con- 
sulted in many such cases which could not be bene- 
fitted by any kind of treatment till marriage took 
place. In a modified form it is often experienced 
about the period of puberty, in consequence of the 
great and unusual activity of the organs at tha 4 
*ime, and much evil may result if a word of advice 
md caution be not then given. The young person 
will in all probability discover that a temporary 
relief can be obtained by the vicious practice of 
self-indulgence, and not knowing that this will 
really increase the irritation, eventually, he goes 
on with the practice till his health is seriously im- 
paired and his sufferings aggravated almost beyond 
endurance. 

The treatment of irritable Testis depends in a 
great measure upon the peculiar condition of the 
patient, and the state of his general health. In 
many cases it is so entirely of a nervous character 
that we need merely advise a change of air and 
scene, or cheerful company, or some interesting 
mental occupation, in short, any thing that wil' 
arouse the sufferer to activity, and turn his thought? 
away from his affection. If he be dyspeptic it is 
essential that his digestive organs should be attendee 1 
-o, and if he be costive, which is often the case, th$ 
bowels must be brought to a more regular state 
before improvement can even be hoped for. In 
cases where there is great debility, tonics must be 
11 



108 DISEASES OF THE TESTES. 

used, such as the Steel drops, or Peruvian bark, and 
a generous diet must be a v l vised, with a little wine. 
The use of cold water externally is of the very first 
importance, as it gives tone to the parts, and re- 
moves the morbid sensibility, more perhaps than 
any thing else. The parts should be freely bathed 
with it two or three times a day if possible, or at 
least night and morning. In obstinate cases a 
plaster of Belladonna Ointment may be placed over 
the whole Scrotum, or laudanum may be used as a 
lotion. A good suspensory bandage is also very 
frequently of great service. 

In addition to any treatment, however, and still 
more essential, is a knowledge of the cause of the 
trouble. If any of the above named practices are 
persisted in, or if the patient's situation in life is 
unsuited to his temperament, no great good can 
possibly result from medical treatment alone. 
These things must therefore be spoken of, either tc* 
the patient himself or to his guardians. 

It is not necessary to perform castration for thia 
disease, as it is for some others, because it is 
not a serious one, and generally either subsides of 
itself in time or can be relieved by appropriate 
treatment. 

In one instance a gentleman was affected with 
this morbid irritability, in one of his Testes, just 
before the time appointed for his marriage, and was 
so convinced that it was but the beginning of a 
greater evil, that in spite of all advice to the con- 
trary he insisted upon having the organ removed, 
which was done. Directly after, however, th& 
other began to be as irritable as the lost one had 
been, but this of course he was not so desirous of 
parting with, and therefore bore with the trouble, 



DISEASES OF THE TESTES. UW 

He was married and had no further trouDle after- 
wards. The removed Testicle was perfectly 
healthy ani sound. 

Neuralgia of the Testes, — This is a nervous dis- 
ease of a much more serious character than the one 
already described, and more difficult to treat. It is 
characterized by acute pains, sometimes lancinating 
and at others dragging or pricking, which are 
usually accompanied by spasms of the cremaster 
muscles by which the Testes are drawn foroibly up 
to the groin. In general these pains come on 
periodically, as in other cases of Neuralgia, and 
between the paroxysm the Testes are often per- 
fectly free from pain, even when handled, though 
there is occasionally a little morbid sensibility in 
them, and perhaps a little soreness on the edge ®f 
the hip-bone. The attack may last only a few 
minutes or many hours, and is usually confined 
to only one Testis ; some patients have it come on 
twice a day, others once a day, and some agaia 
only once in several days. Some &re affected with 
sickness and vomiting, and others with shiverings 
and cold perspirations, while others again expe- 
rience such intense agony that they roll upon thp 
ground and groan, or perhaps faint away. 

In nearly every instance when examinations 
have been made of the Testes so affected, after their 
removal, no alteration whatever has been detected 
in their structure, nor any indication of disease to 
which the neuralgia could be ascribed. In some 
long-continued cases, where the pair, has been 
great, there has been a little swelling and inflam- 
mation, but this is rare. 

The causes of Neuralgia of the Testes are but 
Uxtb known, or rather, perhaps, not known at all. 



110 DISEASES OP" THE TESTES. 

It is met with at all ages, and in almost every 
variety of constitution, though most frequently 
attacking those who are subject to derangements of 
the digestive organs. It very often appears to 
result from some disease of the Testes, particularly 
Orchitis, and from Varicocele, or disease of the 
Kidneys.- Many persons experience it from Gravel, 
and still more from the passage of a stone from the 
Kidneys to the Bladder. Gouty subjects are liable 
to it, and so are those affected with enlargement of 
the Prostate Gland. 

In the treatment of Neuralgia of the Testes, the 
first thing is to ascertain if there exists any other 
disease, which may possibly cause it. The Diges- 
tive Organs must be attended to, and the patient 
must be advised to avoid all causes of mental di$»- 
quiet, or nervous agitation. Internal medication is 
seldom of much use, though in some cases relief is 
obtained by taking Iron, in various forms, particu- 
larly the Pills of the Carbonate of Iron, and if the 
attacks be regularly periodical, Quinine may be of 
service, in doses of Jive grains, three or four times 
a day. Turpentine is occasionally very efficacious, 
in the following form : 

R. The yolk of one Egg ; oil of Turpentine, 
three drachms ; syrup of Orange-peel, and syrup 
of Tolu, of each two ounces ; Laudanum, one 
drachm. 

These are all to be well mixed together, and 
three table-spoonfuls to be taken daily. 

Warm fomentations of hops, or poppy heads, wiM 
sometimes benefit, but at other times ice-water will 
be still better. A* blister may be put upon the 
Scrotum, if all other means fail, and a quarter of a 
grain of Mfrphia placed or the r aw surface. A 



DISEASES OF THE TFSTES. 'Ill 

8elladonna Plaster will sometimes relieve, or an 
Ointment composed of one grain of Aconite to one 
drachm of Lard, rubbed over the parts twice a day 
The Tincture of Aconite is sometimes still more 
efficacious when rubbed on the Scrotum with a 
sponge, and will often so numb the parts that no 
pain will be felt for hours. Twenty or thirty drops 
of Laudanum are sometimes beneficial, internally, 
and the following preparation still oftener. 

R. Extract of Hyoscyamus, five grains ; Acetate 
of Morphia, half a grain ; to be taken twice a 
day. 

Neither bleeding nor Mercury appear to be of 
any ube in this disease, but Galvanism, properly ap- 
plied, is frequently of great service. 

When the disease is too severe to be borne, or 
seriously affects the patient's health, if all other 
means fail, Castration may be performed. It 
should not be done prematurely, however, nor with- 
out due consideration, for sometimes the disease 
will subside spontaneously, after enduring a long 
time, and even when the operation has been per- 
formed the Neuralgia has often remained in the cord 
as severe as ever. I have known the disease re- 
main for two years, causing the most agonizing 
suffering nearly the whole time, and then go off and 
never return.- 

Several cases of this singular disease have lately 
come under my care, and in no two of them has the 
same treatment been beneficial. Each one has had 
to be studied and prescribed for separately, but in 
none was an operation necessary. 



IV 



U2 DISEASES Of THE TESTES. 



SPERMATOCELE, OR SWELLING OF THE TESTES F&O* 
ENGOjiGMENT OF SEMEN. 

It is very seldom that this affection is met with, 
though it sometimes ocburs from obstructions in the 
Vas Deferens, and Urethra. ' It may also arise in 
falling of the Cord, from its becoming twisted or 
knotted, and from swelling of the prostate Gtand, 
causing pressure on the ejaculatory ducts. The 
symptoms are swelling and heat in the Testes, with 
a distinct sense of fulness in them and aching pain. 
There is also usually considerable 'priapism, and 
intensity of sexual desire, but not always. 

The treatment consists first in removing all 
causes of obstruction, if any exist, and then in cola 
lotions and rest, with purgatives. Sometimes Sper- 
matocele is met with as the simple result of undue 
continence, but this is rare. The effects of it, if 
long continued, may be inflammation of the Testicle, 
with Hydrocele, and ultimately complete impotence. 
If the means above directed do not give relief 
Leeches may be applied to the perineum, or general 
bleeding may be practised from the arm. The 
diet should also be very spare and simple, and the 
drink cold water. The mind must not be allowed 
to be idle, nor the imagination too much excited, 
and the body must be inured to regular and brisk 
exercise in the open air. If, notwithstanding all 
these, the trouble still continues, and threatens to he 
serious, nature indicates but one more mode of 
relief, which is sure to succeed. In very obstinate 
cases of Spermatocele, the pressure of the Semen 
nas been known to burst the seminiferous Tubes 
and 1 am persuaded, fron what I have seen, that h 



DISEASES OF THE TESTES. 113 

frequently injures the structure of the Testicle. 1 
once saw the testicles of a young man dissected who 
died in an epileptic fit, brought on by an intense 
struggle to suppress all sexual desire. They pre- 
sented the most confirmed case of Spermatocele 
perhaps ever seen, being engorged with semen till 
much larger than the natural size, and evidently in 
a state of chronic inflammation. The tubes were 
blocked up with hardened semen, almost of the con- 
sistence of cheese, and many of them w«re broken 
and run together. In a short time the structure of 
the organs would have been completely destroyed. 
The Vas Deferens and Epididymis were also en- 
gorged in the same manner, and in many parts 
were beginning to change -their structure. 

SCROTOCELE OR RUPTURE OF THE INTESTINES OR 
OMENTUM INTO THfc SCROTUM. 

To understand the nature jf this affection it is 
necessary to refer back to waat has already been 
stated. During Foetal life thd Testes are contained 
in the Abdomen, from which they descend into the 
Scrotum about the ninth month, by an opening 
called the abdominal ring. After they have de- 
scended this opening usually closes, and no further 
direct communication then exists between the two 
cavities. In some cases, however, this closing up 
is not accomplished before birth, and then there is a 
liability for the Intestines, or their covering the 
Omentum, or both to descend after the Testes into 
the Scrotum, forming a Scrotal Hernia. In most 
cases this takes place very early, but it may be 
delayed some 'months, or years, and has taken place 
aa late as the thirtieth year. The symptoms are 



114 DISEASES OF THE TESTES. 

much the same as those of other ruptures, excepts 
ing that the tumor is found in the Scrotum. If the 
bowel is compressed in the ring till the passage in 
it is obstructed, great suffering results, with inflam- 
mation, and nearly certain death if relief is not 
obtained. I have known infants suffer severely 
from this trouble, and in fact be almost lost from it 
without any idea on the part of their parents as to 
what they ailed. I have also known boys become 
subject to it suddenly from leaping, or from strain- 
ing of the bowels, and suffer the ' most dreadful 
tortures before they told how they suffered, 01 
before any one found out what was wrong. 

If the Rupture exists from birth the Testes cannot 
be felt while it is down, 'because they are covered 
by it, but when the Rupture occurs in after-life the 
Testes can be felt behind, in the lower part of the 
Scrotum. In some cases the Hernia is small, and 
descends only a small distance, so that no great in- 
convenience is experienced, and it may exist in thi« 
way for years, or even for life, but there is always 
danger of its becoming worse. Occasionally a 
quantity of fluid descends from the abdomen, either 
with a Rupture or without, constituting a true Hy- 
drocele, but differing from that occuring in after- 
life by the fluid returning into the abdomen, when 
pressed upwards. Children are sometimes born 
with a large accumulation of fluid in this way, and 
in others it appears a few days after birth. In 
these cases the fluid also usually disappears intr 
the abdomen when the patient lies down, and ma) 
be kept there when erect by pressing the finger an 
the abdominal ring, but immediately the finger if 
taken away it re-appears. 

The treatment of Scmtal Hernia is much tha 



IHSE/iSES OF THE TESTES. 11 5 

same as that of other ruptures, and when properly 
conducted usually produces a cure, unless there is 
son*e malformation of the parts that cannot be cor- 
rected. The protruded parts are first pushed back 
into the abdomen, leaving the Testes in their place, 
and then a properly-constructed Truss is worn that 
presses on the abdominal ring, to prevent their 
return. If this be worn regularly, and the^ parts 
never allowed to fall again, the passage will gene- 
rally close up, and the cure be thus made complete 
in a few weeks The older the patient is, however, 
the longer time it will require to effect a cure, and 
the greater chance there is that it may not take 
place at all, ir* which case a Truss must be con- 
stantly worn. 

Great care in required in applying the Truss that 
it does not pre^s on the Intestine, or on the Testes, 
for if it does so, great pain and perhaps inflamma- 
tion may result. It must also be carefully ascer- 
tained that the Testes are in the Scrotum, because 
if they are not the truss will be improper, as it will 
prevent their descent. 

In Congenital Hydrocele the fluid may be kept 
back, more or less completely, in the same way as 
the Intestines, and in young persons it usually 
absorbs m the course of time. In very bad cases 
of Scrotal Hernia, when the Intestine is strangula- 
ied, and cannot be replaced by external manipula- 
tion, an operation is needed, which consists in 
cutting the neck of the sac, or ths ring, a little 
larger, so as to allow of its return. This, however, 
must always be performed by an experienced Sur- 
geon, and in such hands is perfectly safe and corn- 
okratively et*$y. 

Parents cannot be too careful in" observing thei? 



116 DISEASES OF THE TESTES. 

children to as to detect any trouble of this kind aJ 
the earliest moment. From want of attention this 
way a Scrotal Hernia may take place, and produce 
serious effects, before anything of the kind is sus- 
pected, and the proper treatment may thus be too 
long neglected. A severe fit of crying is very 
likely to bring this on, in infants who are disposed 
to it, and hard coughing may do the same in after 
years. It is very seldom cured, so as to do without 
a truss, after puberty. 

VARICOCELE AND CIRCOCELE, OR SWELLING OF THB 
VEINS OF THE SCROTUM AND SPERMATIC CORD. 

Varicocele is simply a swelling of the veins on 
the surface of the Scrotum, and is never of a serious 
nature, unless caused by other diseases. It appears 
to arise spontaneously in many cases, but more 
frequently follows severe fatigue, long standing, or 
debilitating diseases. All that is required is for the 
patient to wear a suspensory bandage, use the cold 
astringent lotions directed in Hydrocele, and rest. 
If he be of a full habit of body it may also be 
requisite to order a low diet for a time, and the 
strict use of cold water as a drink. 

Circocele is a swelling of the primary veins of 
the spermatic cord, within the Scrotum, and may 
become much more troublesome than Varicocele, 
though it is but seldom serious. The swelling is 
felt in the Scrotum like a firm knotty tumor, on one 
side of the Testicle, and becomes larger when the 
patient coughs or strains, but subsides when he lies 
down. It is on this account that Circocele has 
sometimes been mistaken for a rupture of the 
Omentum into the Scrotum. It only needs a prope/ 



DISEASES OF THE TESTES. ] H 

examination, however, to show the tiuth. When 
the patient lies down push the tumor up into the 
abdomen, and press the finger firmly on the abdo- 
minal ring, then let him rise, and if it be a rupture 
the tumor cannot descend again while the finger is 
held there, but if it De a Circocele it re-appears im- 
mediately. 

It is seldom that anything more is experienced 
than a sense of weight and uneasiness in the parts, 
except in severe cases, and then there may be 
pains in the back and loins, with weakness in the 
thighs, and eventually a wasting of the Testicle. 

The treatment must be almost precisely the same 
as given for other swellings. Cold astringent 
lotions, the suspensory bandage, purgatives, anc 
rest, by lying upon the back, is # all that can be 
generally advised, though there may be particular 
circumstances in each case to indicate something 
more. There are cases so severe as to require the 
removal of the Testicle, but fortunately they are 
rare. 

Many sufferers would escape this affliction if 
they would wear a suspensory bandage in time, 
when the swelling and inconvenience are first 
observed, and many would have no return of it if 
they did not leave off the supporter too soon. 
The veins on the right side appear to be seldom 
subject to swelling, nearly all the cases being o the 
left side, though occasionally both are afFectea. out 
the left always the most so. This is probably 
owing to the position of the Colon, or lower part of 
the large Intestine, which descends on the le»ft side, 
and by pressing on the veins prevents the blood from 
freely returning, and thus causes the swelling 
below It is on this accourtf iha persons who su£ 



118 DISEASES OF THE TESTES. 

fer from Constipation are most liable to Varicocele, 
and that it is always worse when the bowels have 
been long unmoved and are full. It is for the same 
reason also that the left ovary, in females, is most 
apt to be affected with Varicocele. Among other 
general causes of this disease may be mentioned 
excessive indulgence, Masturbation, Inflammation 
of the Testicles, and Ruptures or Tumors in the 
Abdomen. Very fat people are sometimes affected 
with it, owing to the pressure of the fat in the lower 
part of the abdomen, and those who wear trusses 
are liable to it from the pressure of the instrument, 
unless it be well made, and carefully adjusted. 
Riding, hard running, leaping, and lifting will also 
bring on swelled veins, and sometimes even burst 
them, particularly if the Scrotum be much relaxed. 
It is most frequent at the age of puberty, though 
met with occasionally at other periods. 

The characteristics of this disease are so clearly 
marked that a mistake can seldom occur in regard 
to it, the cord is plainly observed to be swelled, the 
enlargement being greatest below, on the Testicle, 
and on pressure it feels like a roll of knotted cords, 
or a bunch of earth-worms. This swelling is 
always greatest at night, or after exertion, and 
from coughing or straining in any way. It may 
also be reduced by lying down,' and by the ap- 
plication of cold. Many patients discover that it ia 
nearly always much better after coition, and they 
are, therefore, apt to indulge frequently, under the 
idea that it does them good. This, however, is a 
great and fatal mistake, the temporary relief being 
merely owing to the contraction of the Scrotum, 
and to the increased speed of the circulation, which 
always occui immediately after coition As soon 



DISEASES OF THE TES 'ES. 1 1 9 

as this temporary excitemerut is over the relaxation 
is greater than before, and the swelling of the veins 
increases, as all those who have tried the experiment 
well know. 

In general, if taken early the disease may be 
readily checked by the means already described, 
bu* if neglected it may become very severe and 
obstinate, and sometimes gives rise to Neuralgic 
symptoms. There is also danger of wasting of the 
Testes, as before remarked, owing to the circula- 
tion 'of the blood being impeded, and the usual 
supply of nutriment being thus cut off. Many 
instances of this kind are related in medical 
works, and I have seen several myself. In some 
cases the Testes will waste away, and almost 
totally disappear, in a few months after the Vari- 
cocele commences. This, of course, destroys all 
sexual power and feeling, and makes the patient an 
eunuch. It is therefore advisable, if all the usual 
means fail of arresting the swelling, and particu- 
larly if wasting commences, to resort to some other 
treatment, and several modes have been adopted by 
different Surgeons with various success. Sir 
Astley Coopei, and some others, used to cut away a 
piece of the Scrotum, and then draw the parts 
together and let them heal. This, of course, made 
the Scrotum less, and by drawing the Testes firmly 
up to the abdomen afforded a beneficial support to 
the parts above. In many instances this operation 
has effected a cure, but in others the relief from it 
has been but slight. The disease has also re- 
Appeared, with all its former severity, many years 
after being cured in this way. This operation is not 
applicable to all cases of the disease, and even ill 
skilful ha#ds is frequently attended by great danger. 
V4 



i2l» DISEASES t.F THE TESTES. 

Besides this plan, some surgeons have cut through 
the veins, or tied them, and sometimes even cut 
part of them out. Of course either of these plan? ■ 
leads to the destruction of the Testes, besides being 
liable to cause inflammation of the veins, and othei 
serious results, and they are therefore very objec- 
tionable though often successful in curing the Vari- 
cocele. M. Delpech, a celebrated French surgeon, 
operated upon a man in this way, and cured him, 
but the Testes afterwards wasted away, and this 
being unexpected, and undesired, the man was su 
enraged that he assassinated the surgeon. 

The only treatment that can effect a cure without 
sacrificing the Testes is the application of pressure^ 
in such a way as to lessen the circulation of that 
blood in the veins, without stopping it entirely. 
This can sometimes be accomplished by a pecu- 
liarly formed Truss, or bandaga, and at other times 
by a ring; but the making and fitting of these 
instruments is a matter of great difficulty, and re- 
quires to be done for each case separately. I have 
often had the pleasure of affording relief in this 
vay, but only after immense trouble on my own 
part, and great perseverance and patience on the 
part of the patient. 

When nothing else can be done, castration must 
be performed ; and our surgical records give us 
many instances of this operation being resorted to. 

HEMATOCELE, OR SWELLING OF THE SCROTUM A lift 

SPERMATIC CORP FROM THE EFFUSION Of 
BLOOD, 

This affection differs from Hydrocele in being a& 
effusion of blood, instead of water, eith^ into th* 



DISkasES OF THE TESTES. 121 

ftniotam or spermatic cord. It is sometimes caused 
in performing the operation for removing the fluid 
in hydrocele, by wounding one of the blood-vessels, 
and thus allowing the blood to run into the cellular 
1 issue or Tunica Vaginalis. It may also occur, 
spontaneously, from the rupture of a branch of the 
spermatio veins, and may result from blows or 
sprains, the same as effusions of blood in other 
parts of the bud v. 

This accident is rare, and seldom serious. If 
the patient Keeps perfectly still, supports the Scro- 
turn with a banuage, and uses fomentations of hops 
boned in vinegar, or spirits of wine and water, or 
vinegar and waver, and keeps the bowels gently 
relaxed, nothing more will in general be required. 
Sometimes, however, the blood-vessel remains open, 
the blood keeps flowing, and the swelling become^ 
so large, and presses so much on the Testes that 
great distress is experienced. In these cases an 
inmsion must be made, the blood let out and the 
ressel tied, unless it can be closed by pinching 
it together externally, which may be done if th! 
place of ruptu.e is discovered. If there be any 
inflammation it must be combated by leeches, cold 
I'.ttons, and othr,r usual remedies, and if it suppu- 
rates a poultice must be applied. 

PRURIGO, OR ITCHING OF THE SCROTUM. 

This is one of those annoying complaints, which, 
enough not at all serious, are still sufficient to make 
any one suffering from them completely miserable 
and even sometimes almost desirous of death, as the 
only means of relief. The itching is sometimes 
telt without there being any unusual appearances in 



122 DISEASES OF THE TESTES. 

the parts, but more frequently a number of roundish 
red pimples are seen on the Scrotum, which, by the 
patient scratching to relieve himself, often become 
much enlarged, and highly inflamed. In long con- 
tinued cases the skin becomes considerably thickened 
and very hard, and a disagreeable discharge takea 
place from the sebaceous glands. I have known 
persons so tormented with this disease as to be 
frequently delirious, and utterly unable to obtain 
the slightest alleviation of their distress. 

The real causes of Prurigo are entirely unknown 
to us, but it is undoubtedly much aggravated, it not 
-brought on, in many instances, by want of proper 
cleanliness. The plentiful and regular use of cold 
water would prevent more of this trouble than any 
kind of medication can ever cure. In many per- 
sons the secretions of the parts are naturally very 
acrid, and if not speedily removed they are sure to 
irritate every spot they touch. 

Old persons are most subject to this complaint, 
though it occasionally attacks others, and it is 
usually confined to the genitals exclusively, but 
will sometimes extend down the inside of the thighs 
and round the anus. 

The treatment must be chiefly external, unless 
there be habitual indigestion, or constipation, in 
which case a few simple alteratives may be of ser 
vice. If constipation exists a little Epsom Salts 
may be taken, and if the stomach be disordered Jive 
grains of Plummer's Pill may be given every other 
night, for five or six nights. The patient must be 
particularly cautioned not to rub the parts, and hiar 
dress should by no means be allowed to chafe them. 
nor should it be too warm and close. Even at 
Tiigbt th« bet -clothes must be light, and the b^d 



DISEASES OF THE TESTES. 123 

itself hard and cool. But little exercise should be 
( taken, and that very gentle, and the parts should be 
thoroughly washed twice a day with warm soap and 
tvater. A cooling lotion may also be used during 
the day, of Vinegar and Water, with a little Lauda- 
num, or what is often better, two grains of Bichloride 
of Mercury to two ounces of water. Equal parts of 
Citrine Ointment and fresh lard also forms an excel- 
lent application to be rubbed well over the parts at 
•night. Sulphur Ointment benefits in some cases, 
and a Sulphur Vapor Bath still more so in others. 
It is especially important that the diet should be 
eimple, light, and unstimulating, and that no 
alcoholic or fermented liquors should be taken. 

Sometimes the itching arises from the presence 
of certain peculiar little parasitic animals, in which 
case they may be readily destroyed by rubbing on 
a little of the white precipitate powder occasionally. 
In fact this may also be used with a prospect of 
benefit whenever the skin is not much broken. 

ELEPHANTIASIS SCROTI. 

1 his terrible disease is fortunately extremely 
rare in this part of the world, and it is only neces- 
sary to describe it in order to complete our treatise. 
It appears in the form of a peculiar swelling of the 
Scrotum, caused by the infiltration into its integu- 
ments ' of a jelly-like albuminous fluid, which 
accumulates in some cases to a most enormous 
extent. The outer surface of the skin appears 
rough and chopped, or covered with large brown 
scales, so that it has somewhat the appearance of an 
elephant's foot. Sometimes, but not very fre- 
quently, a number of ulcers are formed, and th<? 
12* 



124 DISEASES OF THE TESTES. 

chapped places discharge an offensive sanioui 
secretion. 

This disease is cfiiefiy confined to Barbadoes," 
though found in others of the West India Islands, 
and also in Egypt, Africa, Greece, and the East 
Indies. 

The size of the Scrotum is sometimes almost past 
belief, and yet in some of the very worst eases the 
patients enjoy excellent health, without any disturb- 
ance of the functions of other parts of the system, 
which shows that the disease is purely local. Mr. 
Liston removed one of these Tumors which weighed 
forty pounds, which had been nineteen years 
growing ! M. Delpech removed one that weighed 
sixty pounds ; and Baron Larrey saw one in Egypt 
that weighed over a hundred pounds. Instances 
have even been known of their weighing over two 
hundred pounds, tmd sometimes even the patienis 
have been able to sit upon them, like a seat. Very 
often they hang down to the ankles, and are four or 
five feet in circumference. There is no cure for 
this affection, so far as yet known, and the only 
-emedy is to remove it with the knife, which has 
frequently been done with perfect success. Dr. 
Picton of New Orleans, removed one of these 
Tumors from the Scrotum jf a negro, in 1837, 
which weighed fifty-three pounds, and had been 
growing for ten years. Much larger ones have, 
however, been removed, m and sometimes even with 
but destroying, or in any way injuring the genital 
organs, so that the patient has been as well and 
perfect afterwards as ever he was before, ft is, 
however, extremely difficult to preserve the geni- 
tals, and generally they have to be removed along 
with the diseased mass. The ^reat danger is frore 



DISEASES OF THE TESTES. 125 

,oss of blood, and from this many of those operated 
upon have died. A Chinese named Hoo Loo came 
over to London to be operated upon for this disease, 
and Mr. Key removed the tumor, which weighed 
fifty-six pounds, but the poor man died from loss 
of blood. (See case%t page 367.) 

FALLING OF THE SPERMATIC CORD. 

From various causes the sheath of the cord is 
liable to become excessively relaxed, and weakened 
in its attachments, so that it falls down more or less 
into the scrotum. This is indicated by a sense of 
weight and fulness in the scrotum, and by dull 
pains in the groin, with uneasiness in the testicle. 
On examination a kind of knotty tumor is felt just 
over the testicle, or down on one side of it, which 
may be gradually pushed up into the abdomen, and 
which draws up itself to a great extent when the 
person lies down. This tumor is the cord, which 
has fallen in a heap and presses on the testes. In the 
morning it is seldom to be seen, except very slightly, 
but usually re-appears when the patient has been 
or his feet a short time. It is also worse in hot 
weather, and after great fatigue, or much nervous 
agitation. Straining from constipation will also 
t*^nd to bring it down worse, and so will sexual 
excesses. 

This is simply a local weakness, but it may 
&r ve? iheless lead to very unpleasant consequences 
it showed to continue unchecked. The constant 
pr ttP'tre on the testes becomes very painful, and 
fnyy lead to inflammation, or hydrocele, and ulti- 
mate y the cord may form false attachments and 
srrc-w fast in its wrong position, so tha f no means 



126 DISEASES OF THE TESTES. 

car afterwards remove it. The treatment is simple, 
but requires perseverance. The parts must ba 
regularly bathed with cold astringent washes, such 
as alum water and solution of sugar of lead. Thia 
must be done at least morning and night, and if pos- 
sible two or thr^e times during the day, the fluid 
feeing washed up the groin, and under the perineum 
as well as on the scrotum. The dress must not 
be too warm between the limbs, and no lifting or 
straining must be practised. As little standing as 
possible is also advisable, and constipation must be 
particularly avoided. — The most essential requisite, 
however, is a suspensory bandage, or in very bad 
cases a truss, made to press on the abdominal ring. 
Both these instruments should be put on before the 
patient rises in the morning. 

Falling of the cord usually results either from 
general debility, straining, sexual excesses, or 
fatigue upon the feet. It may occur only on one 
Fide or on both. 

RELAXATION OF THE SCROTUM. 

This affection is something like Falling of the 
spermatic cord, being produced by similar causes, 
and requiring similar treatment. It results from a 
weakness in the fibres of the dartos and great cre- 
•naster muscle, owing to which the weight of the 
testes pulls down the scrotum and elongates it, 
sometimes tc a great extent. In some men I have 
known it hang, when they had been long upon thei* 
feet, full six inches below the pubes. Besides the in- 
convenience of the falling itself, it is nearly certain, 
if it continues too long, to bring on falling of th<5 
cord, and probably hydrocele. It alvva> causes 



DISEASES OF THE TESTES. ] 21 

an annoying sensation of weight and dragging, with 
more or less pain in the groin, and weakness in the 
limbs. 

The only treatment required is the regular use 
of wold astringent washes, as directed in falling of 
the spermatic cord, with the constant wearing of a 
suspensory bandage. The same precaution must 
also be observed as to regulating the bowels, and 
avoiding excesses and fatigue. — If cold water and 
the suspensory bandage were resorted to in time, 
and perseveringly, neither of these affections would 
scarcely ever become very bad, unless from sudden 
straining. — Sometimes however it is caused by un- 
usual weight in the testes, from swelling, tumors or 
hydrocele, and of course can be removed only with 
the cause producing it. 

DISEASES OF THE VASA DEFERENTIA. 

The Vas Deferens is only a small Tube, and is 
liable to several accidents that will impede the 
proper performance of its functions. 

It is not unfrequent after a recovery from Hydro- 
cele, or Hernia Humoralis, for the Vas Deferens to 
become partially obstructed, or even totally oblitera- 
ted, owing to its having partaken of the inflamma- 
tion, and its walls having in consequence grown 
together. When the obliteration is complete the 
individual is of course sterile, because there is no 
passage for the semen. The Testicle may be per- 
fect in its action, but the semen cannot leave it, and 
this not only produces sterility, but sometimes leads 
to fatal inflammation of the Testicles from their 
being constantly overcharge! with semen, and un- 
able to relieve themselves. When there is only, a 



128 DISEASES OF THE TESTES. 

partial obstruction the patient experiences a singu 
tar difficulty in the evacuation of the semen, which 
is effected very slowly, and often with great pain, 
hi some of these cases the orgasm will be over and the 
erection gone down before the semen begins to flow 
and then it comes in drops for a considerable time 
causing great inconvenience and annoyance. 

Unfortunately we know of no remedy for this dif 
ficulty when it has long existed, but when it is onl\ 
a temporary result of acute inflammation it is of 
course only necessary to subdue that to give relief. 
The great point is to prevent such an accident, by 
checking all inflammatory action in the Testes and 
other parts, which lead to it, before the Vas Defe- 
rens becomes affected. It is mostly caused by 
neglecting Hydrocele and Hernia Humoralis too 
long, or by improperly treating them, though it 
may also be brought about by blows over the groin. 
A temporary obstruction of the Vas Deferens often 
arises from its being pressed upon by a swelled 
vein, or by tumors in the Testicle and groin, in 
which case it is of course relieved only when such 
cause is removed. It is advisable to let such causes 
exist as little time as possible, because the retention 
rf the semen may injure the Testicle. I have 
known an improperly-constructed truss press on the 
spermatic cord and close the Vas Deferens, so that 
the person was quite sterile while he wore it. 

Sometimes the Vas Deferens becomes Dilated, or 
Relaxed, so that its size is much increased and i* 
nearly or quite loses the power of retaining the 
semen, or become so full of it as to produce incon- 
venience. The causes of this trouble are unknown, 
though it most probably results from retaining the 
Bemen when it is nearly ready to flow as often a& 



DISEASES OF THE TESTES. 129 

from any other cause. I have known men afflicted 
in this way who habitually tried to prevent the flow 
continuing, from a mistaken idea that if they could 
lessen the discharge they would not be so much 
weakened by coition. It is scarcely necessary to 
saj that such practices do riot lessen the discharge, 
but merely make it finish afterwards in an unseen 
and dangerous form. 

It is not easy to ascertain when the Vas Deferens 
is enlarged or relaxed, but when there is good 
reason to suppose it is so the treatment is simple. 
Cold lotions of Alum-water or Sugar of Lead, as 
recommended in former articles, must be constantly 
used, or ice may be frequently applied so as to 
astringe the parts, and all improper habits must be 
immediately abandoned. 

In addition to these, the Vas Deferens is liable to 
several other affections, as Scrofula and Tumors 
for instance, which are, however, very rarely seen, 
and as their treatment in no way differs from that 
of the same affection in other .parts, they do not 
require any special notice. In some few cases the 
Vas Deferens has been totally absent from birth, 
while the Testes and other organs were perfect. In 
this state the Semen is formed, erection even occurs, 
but there is no emission, because there is no passage 
from the Testes. This condition of the parts is 
nearly sure to lead to Orchitis, or Spermatocele, 
from the irritation of the retained Semen, unless the 
patients desires are weak, or kept much under 
control. If the Vas Deferens of an animal be cut 
out, or tied, it is found that the Testicle still secretes 
the Semen, though it cannot escape, showing that 
tb*i power of secretion is not lost by the impossi. 
bility of emission. 



]£0 DISEASES OF THE TESTES. 



DISEASES OF THE SEMINAL VESU'LCS 

TJie precise use of these two organs is yet s 
matter of dispute among physiologists, some regard- 
ing them as real Glands, by which a peculiar liquoi 
is secreted to mix with the Semen, while othert 
look upon them as mere reservoirs in which the 
Semen accumulates previous to its emission. When 
dried and injeeted the Vesicles are seen to be two 
Tubes convoluted and turned upon each other so 
closely that their parts look like cells. The ends 
of these Tubes open into the Vas Deferens, just 
where the ejaculatory duct commences. 

It appears certain that the Vesicles have con 
siderable contractile powers, and this has favored 
the idea of their being intended to contain the 
Semen and afterwards eject it during coition. 
When examined after death, however, they do not 
contain Semen, but are filled with a yellowish fluid 
apparently peculiar, to themselves. Their precise 
use is therefore as yet unknown. 

They appear to be subject to obstruction and 
obliteration like the Vas Deferens, but we nave do 
means of detecting such derangements, noi can wa 
propose any remedy. 



TENTS CUT THROUGH VERTICALLY. 




. Vesicle. 
Ejaculatory Canal. 



Cewper's Gland. 



Prostate Gland. 



131 



CHAPTEK V. 

THE STRUCTURE, DISEASES AND MALFOHMA 

TIONS OF THE PENIS AND i'Hfi PARTS 

IMMEDIATELY CONNECTED WITH IT 

The Penis is a hollow spongy organ down which 
runs the passage from the bladder, called the 
Urethra, by which the urine escapes, which also 
6erves for the exit of the semen, as before ex- 
plained. 

The Anatomical structure of this organ is not 
thoroughly understood by Anatomists, owing to the 
difficulty which necessarily exists of dissecting it 
in its several «tates. Sufficient, however, is known 
to explain it? Physiological action, which 13 all we 
now require to know. 

The bo<iy of the Penis consists of two distinct 
parts, each of which is very porous, or rather 
spongy. The upper part, which is the largest, is 
called the Corpus Cavemosum ; the under part, 
which is much the same in its structure, is called 
the Corpus Spongiosum. Both parts extend from 
the 'Pelvic Bones to the Glans at the end. The 
Corpus, Cavemosum is divided down the middle 
into two parts, by a septum, or partition, and some 
physiologists on that account speak of two Caver- 
nous bodies, or the Corpora Cavernosa; it is, how- 
ever, strictly but one. These two parts are rounded 
on the under edge, so thai when they come flat 
together there is a groove formed underneath, and 
in this groove lies the Urethra. They are both 
firmly attached to the front bones of the Pelvis, 



l%% 



PLATE X. 

Fig. 1. The Bladder and Penis laid ^psn. 

1 The inside of the Bladder. — 7>. b. T>** Urftwrs, o? 
Tubes which convey the Urine from the Sidneys to the 
Bladder. — c. c. — The Vasa Deferentia — d. d. Tha 
mouths of the Ureters. — e. fhe Prostate Gland.—/. 
The Veru Montanum. — g. Openings of the Seminal 
Ducts. — h. The Ischio Cavernous .Muscles, which assist 
in erection. — i. i. The bulb of the Urethra. — k. k. Cow- 
pers Glands. — /. The wide part of the Urethra. — m. The 
narrow part. — n. The second wide part, called the Fos- 
sa Navicularis. — o. The Glans. — p. The Prepuce. — q. 
The Meatus Urinarius, or externa* opening of the 
Urethra. 

The Cellular, or spongy structure of the body of the 
Penis is shown on one side, like a honey -comb ; a»d the 
distiibution of its blood-vessels on the other. 

Fig. 2. Cross Section of the Pen:* 

« a. Th»3 Corp is Cavernosum. — b. The division or septum 
between the two parts of the Corpus Cavernosjim. — c 
The Corpus Spongiosum.— -d. The Urethra. — t. Ine £,seat 
Vein of the Penii. 




i. no a 

Plate X. 

Section of Penis and Bladder. 



134 DISEASES OF THE PENIS. 

under the Perineum, by two roots called the Crura 
Penis. 

The Corpus Spongiosum surrounds the Onal of 
the Urethra underneath, and fills up the remainder 
of the groove, so as to round the whole organ. It 
terminates posteriorly in what is called the Bulb of 
the Urethra. 

The whole organ is surrounded by the skin, ex- 
cepting the end, where we find a bod^\ called the 
Glaus Penis, which is both different and separate 
from either of those described. The inner fold of 
the skin of the. Penis is attached to the termination 
of the Corpus Cavernosum, while the outer fold is . 
extended beyond, so that it only partly covers the 
Glans but is not attached to it, and may be drawn 
back. This loose skin is called the prepuce, or 
foreskin, and is the part cut off in the rite of cir- 
cumcision. In some persons it extends farther over 
the Glans than it does in others, but generally 
leaves more or less of it exposed. " The Glans is 
probably an enlargement of the peculiar erectile 
tissue surrounding the Urethra, and is covered by 
a highly sensitive and vascular skin, of an exceed, 
ingly delicate structure. It is in the form of a sec- 
tion of a cone, and terminates on the posterior or 
upper margin by an elevated ridge, called the Corona 
Glandis, behind which is a depression called the 
Cervia, or Neck. In this depression are several 
glands called the Glandula Odorifera, which produce 
a whitish secretion, of a peculiar odor, that some- 
iimes accumulates in great quantities in those who 
neglect proper cleanliness. On the under side of 
the glans the prepuce is attached nearly at the end, 
by a fold, or ligament, called the Frcenum, or Liga- 
mtntum Pr&yutii. This ligament, or cord, is son*e« 
13* 



. DISEASES OF THE PENIS. |35 

times too short, and during erection is so pulled 
upon as to cause great annoyance ; occasionally it 
even ruptures, or tears, causing severe pain, with 
loss of blood. 

These parts constitute the substance of the Penis, 
and are therefore most essential to the performance 
of its proper functions. 

The peculiarity of the structure of the Corpus 
Cavernosum and of the Corpus Spongiosum, consists 
in the,ir being full of curiously arranged blood ves- 
sels and cells, or cavities, like those of sponge, all 
communicating with each other, and being con- 
nected with the main branches of an artery and a 
vein. In ordinary states these vessels, excepting 
the larger ones, and also the cells, are nearly or 
quite empty, but under appropriate excitement the 
blood from the artery is impelled intG them and rills 
them up, in consequence of which the. organ en- 
larges, like a sponge when filled with water. This 
is called the Phenomenon of Erection, and it depends 
upon a peculiar sensibility proper to the parts, which 
are therefore sometimes spoken of as being composed 
of Erectile Tissue. There is no other part of the 
body that in any way resembles the Penis in 
structure, except the Clitoris in the female, which 
has a similar Tissue, and is usually capable of 
erection to a certain exient, in precisely the same 
way. 

When. the excitement is withdrawn the' blood or- 
dinarily flows back by way of the cavernosus vein, 
and the erection subsides, but sometimes its return 
is prevented, and the erection then remains, though 
ail excitement has gone. — The Corpus Spongiosum 
is so distinct from the Corpus Cavernosum that erec- 
tion will sometimes take place in one and not in the 



136 DEBASES OF THE PENIS. 

other, which necessarily curves the organ, or drawi 
it into the form of a bow, producing what is termed 
a chordee. The erection, and emission of semen, 
is also assisted by a number of different muscles, 
particularly by one called the Erector Penis, or 
Igchic Cavernosas Muscle. Sometimes in erection 
the rusri of blood will be so sudden and violent that 
thi vessels will burst, and the erectile tissue be thus 
totally destroyed. In some persons the filling up 
of the blood-vessels always occurs in a very short 
time, while in others it is tire reverse ; and in like 
manner the erection subsides m u short time in some, 
while in others it will continue for a long period 
and subside very slowly. This depends upon some 
peculiarity in the vital action of the blood-vessels, 
not yet understood, In old age the blood generally 
flows in slower, and flows out much quicker than it 
does in youth, so that the erection is longer in taking 
place and goes down more rapidly. 

The uses of the Penis, as before remarked, are 
two-fold, firstly it serves as a conduit, to convey the 
urine from the body, and secondly as a conductor 
to carry the semen into the female organs. For 
the first use erection is not necessary, but it is for 
the second, and therefore its proper occurrence is 
both natural, and essential to the performance of 
one of the functions of our nature. 

The form of this organ varies in different ani- 
mals, for -the purpose of adaptation, and is some- 
times very singular In some it is covered with 
spines, so as to give great pain to the female during 
connexion, as in the cat, while in others its structure 
causes that act to be much lengthened,, as in th* 
dog. In birds the male organ is merely rudiment- 
ary, so that there is no actual union, properly speak. 



DISEASES OF THE PENIS. ] £J 

mg, but merely an emission into the female organs. 
In the human being there are occasional deviations 
from the ordinary development, and sometimes even 
peculiarities in structure. Thus instances have 
been known of the interior of the Corpus Caverno- 
sum being more or less ossified, so that a distinct 
bene always existed in the middle of the organ. 
This is often the case in negroeSj and in some of the 
lower animals it is natural. In a few rare instances 
!he penis has been found double, or rather divided 
into two parts, only one of which, of course contains 
a urethra, though both may be capable of erection; 
as I observed in one case in my own practice. 
Probably amputation of the imperfect part might 
have been safely effected, but as little incon- 
venience was experienced it was not thought 
necessary. 

The various peculiarities of structure and deve- 
lopment that interfere with the functions of thia 
part will be treated under appropriate heads as we 
proceed. 

ABSENCE AND MALFORMATION OF THE PENIS. 

Resides being liable to be lost by several acci- 
dents, and by necessary operations, the Penis may 
also be deficient from birth. I have seen instances 
when it was not more than a quarter of an inch in 
length, and sometimes only a slight swelling, like . 
the top of a small tumor. In such cases of course 
there can be no connexion, but still such men may 
be fathers, providing all the other parts are perfect, 
because, as before explaineJ. the semen .nay im- 
pregnate if it be only shed within the external lips, 
which may of course be effected in the worst of 



138 DISEASES OF THE PjfclNIS. 

these instances. I have known instances of married 
couples, with famiiies 5 who never had any associa- 
tion, from similar causes. It is unnecessary to saj 
however that marriage should never take place in 
such cases without the nature of the infirmity being 
first known, though I believe the law would declare 
any marriage binding if impregnation was possible. 
In giving an opinion under such circumstances it is 
however difficult to decide this point. In general, 
in healthy females, the placing of the semen artifi- 
cially in the vagina will induce conception, but not 
always. Hunter relates an instance where he ad- 
vised the injection of the semen with a syringe, after 
its escape from the husband, and impregnation fob 
lowed. There are some females, however, in whom 
its absorption will not take place without a certain 
amount of excitement, dependent upon actual asso- 
ciation, so that there will always be more or less 
uncertainty, and much less probability than when 
no such deprivation exists. Independent of this, 
however, there are other considerations that should 
forbid the marrying of men so situated, unless with 
a fall knowledge of the circumstance and its conse-- 
quences by both. In some of these cases, especially 
when a portion of the organ is left, as. after opera- 
tions and accidents, the 'difficulty may be much 
remedied by an instrument, so constructed as to fit 
on the part remaining, and resembling that which 
is lost. 1 have known instances of conception fol- 
lowing the use of such an instrument, when the 
penis itself was not more than a quarter of an inch 
long. But then the semen was formed in great 
quantities, and was remarkably healthy. 

In some children the Penis is tied down to the 
Scrotum, or some oth sr of the neighboring parts, dv 



DISEASES OF THE PE1NS. 139 

panels, which never allow it to be extended, and of 
course pre rent the performance of its functions. 1 
saw one, child of seven years in whom it grew flat 
on the Abdomen, causing great trouble and annoy- 
ance in urinating from the direction in which the 
fluid had to flow. Nearly all such cases can be 
easily corrected by a slight operation at any age ? 
the adhesion being usually only by the skin, but are 
better attended to early in life. The one referred 
to was put right very readily, and in two years' 
time scarcely a trace of the operation could be 
seen. 

Occasionally the Penis will have a wrong direc- 
tion, being turned so much either on one side, 
under, or upwards, that association is impossible. 
If this depends upon contraction of the skin, or of 
the muscular fibres, it may be corrected by simply 
dividing, them, "but if it results from a tumor, o-r 
swelling, that must be removed before any altera- 
tion can be effected. Aneurisms, and swellings of 
the veins, will sometimes bring about such devia- 
tions, and so will too long continued erection, by 
rupturing some of the cells or vessels, and so 
causing accumulation of blood. I knew one in- 
stance of this kind in which every time erection 
occurred a large tumor was formed on the left side 
full of blood, which of course turned the end of 
the organ to the right side, and thus prevented con- 
nexion. This accident had been caused by numer. 
cus forcible and long-continued erections in one 
night, during intoxication. The tumor was as 
large as an egg, and when full could be distinctly 
felt to pulsate. It was ako very painful, and ap- 
peared almost ready to burst. The remedies pro 
posed were cold astringent lotions and wearing 8 



]40 DISEASES OF THE PENIS. 

thin flat plate of smooth horn over the part, boimd 
on so firmly as to prevent any swelling from 
accumulation of blood. This plan succeeded very 
•veil in giving relief, though it is probable there 
will always be more or less tendency to a recur- 
rence of the trouble. 

Besides Scrofulous and other Tumors in the 
Penis there will sometimes be bony swellings, and 
accumulations like calculi or stone in the bladder. 
These may either compress the Urethra, and so 
prevent the passage of the Urine and Semen, or 
they may curve the organ so as to prevent its use ; 
in general, however, they can be removed. 

Sometimes the Frsenum or cord that binds down 
the prepuce at the end underneath, will be so short 
or contracted that during evacation the point of the 
Glans will be pulled under. This not only prevents 
the Semen being thrown straight forward, but even 
prevents connexion in many instances, either caus- 
ing severe pain, or by bending the end of the organ 
eo much. This difficulty is easily remedied, by 
cutting through the cord with a pair of scissors, or 
a lancet. I advised a gentleman out West how to 
do this, in a letter, and he wrote afterwards to in- 
form me that he had succeeded perfectly, with his 
razor. It is simply necessary to take care to cut 
only deep enough to just sever the cord, and after- 
wards to keep the parts stretched asunder, so that 
they dG not grow together again; a simple dressing 
of cloths dipt in cold water is all that is required 
after. I have known the cord to be eaten through 
with caustic, but the plan is not so good as cutting, 
being more tedious and painful, and leaving a larger 
Bear. In some persons it has been broken suddenly 
during a violent erection, or on attempting coition^ 



DISEASES OF THE PENIS. 14i 

out such accidents are always painful, and are bet. 
ler avoided by a timely operation. 

HYPOSPADIAS. 

This term means a case where the end of the 
Urethra does not come to the end of the Penis, but 
opens underneath, the passage not reaching the 
whole length of the organ. This state of things 
sometimes follows severe venereal cases, and othei 
accidents, but its causes when congenital are of 
course unknown to us, and unfortunately but little 
success generally attends its treatment. 

This malformation is a cause of great trouble 
and annoyance in urinating, and interferes more or 
less with the power of impregnating, though it by 
no means prevents it altogether, as was formerly 
supposed. 

Sometimes the opening is close by the Fnerium, 
and during erection it is firmly closed, owing to the 
pressure, so that the Semen cannot escape from the 
Urethra. In such cases there cannot be impregna- 
tion, unless the Semen flows after the erection has 
somewhat subsided, but this it will not always do, 
because it may run backwards into the bladder, and 
in such cases the patient is necessarily impotent. 

When the Semen escapes freely, providing it be 
within the female organ, conception may or may 
not take place, according to circumstances, let the 
opening be where it may. 

At other times the opening is so near the body 
that the Semen, when it does escape, cannot enter 
the female organs. In such cases the only resort 
left is artificial impregnation, as before explained. 

The taarer the opening is to the end of the Penis 



142 DISEASES 07 TiSE PENIS. 

generally speaking, the more chance there is of 
success, a*nd the nearer it is to the body the less 
[n some situations any kind of treatment is out oJ 
the question. When it is close to the body the 
Urine and Semen run down the Scrotum or Peru 
neum, unless an instrument be worn to prevent it, 
causing constant irritation and annoyance. 

Sometimes there are two openings, but they sel- 
dom communicate, and the fluids nearly always 
escape by one only. 

It was formerly considered, even by the most 
eminent surgeons, that it was impossible to operate 
with any prospect of success in these cases, from 
the nature of the parts, and from the constant flow of 
Urine ; they therefore advised to leave them alone, 
and provide the sufferer with the best remedial 
instruments, to lessen the inconvenience. In 
modern times, however, success has attended 
numerous attempts to correct this malformation, 
and under favorable circumstances it is always 
attempted. 

The mode of operation is simply to pass a small 
sharp-pointed instrument straight through the Penis, 
along where the natural opening should be, and 
thus make an artificial passage, which is kept open 
by bougies till the cut edges have healed and there 
is no danger of it growing up again. When this 
is fully accomplished a catheter is introduced, and 
the edges of the old opening underneath are made 
raw and held together, by needles or other con- 
trivances, till they adhere, and thus the opening is 
closed. In this 1 way a new passage is formed in 
the proper direction, and the old unnatura. one is 
permanently obliterated. There are, however 
many circumstances that may make the success oi 
14 



DISEASES OF THE PENIS. 743 

the operation very uncertain, and some tnal may 
forbid it being attempted. 

In general the proper canal of the jrethra ex- 
ists, but in a small state, and is closed only at the 
very end, by a thick membrane. This membrane 
may usually be easily cut through and the canal 
enlarged by bougies, by which means, if the false 
opening can be closed, a }>erfect cure can be ob- 
tained. Sometimes however there is no trace of 
the urethra, and the passage has to be cut thiough 
the solid flesh the whole distance, which is apt to 
excite so much inflammation that no bougie can be 
worn, and then, all grows up again. The false 
opening is also so large in some cases, or the edges 
are so thin, that it cannot be closed, and then the 
new opening may be of little use, though it be formed. 
In some of these cases, however, a small tube can be 
worn internally, extending just past the opening 
underneath, so as to conduct the semen and urine 
to the proper opening at the end ; or a piece of gum 
elastic, or oiled silk, may be worn firmly over the 
opening externally, to effect the same object. By 
such means many a suiFerer has been enabled to 
urinate in comfort, in the natural way, and many 
an impotent man has become a father. 

Instances have been known where the false open- 
ing was between the Testicles, or even in the Peri- 
neum, and yet it has been perfectly closed and & 
new one made ihe whole length of the Penis. Such 
operations, -however, require great skill in the sur- 
geon and much endurance in the patient. 

In many instances, when the false opening is 
near the end of the Penis, it will be found that the 
proper passage is continued the whole length of th 
organ and merely closed at th^ mouth bv a skir 



144 DISEASES OF THE PBNIS. 

I kne m A a man who was troubled in this way, th« 
opening being just at the base of the glans, who 
could close it with his fingei and send the urine 
along the natural passage till it made the skin at 
the end project. Haying heard me explain about 
this in some of my Lectures he determined to try 
and operate himself; accordingly he took the sharp 
end of a penknife and where the skin projected 
strongly he made a small puncture very readily* 
through which the urine escaped immediately 
The inflammation soon subsided and the new open, 
ing remained, so that by always closing the old one 
with his linger he could urinate as well as if nothing 
was wrong. I told him that the old opening c^uld 
be easily closed permanently, by another slight ope- 
ration, but he felt so well content with what was 
already done, and suffered so little inconvenience, 
that he would not consent to anything further. 

One of the greatest difficulties is in keeping a 
catheter in sufficiently long to make the urine flow 
down the new passage while the old opening grows 
together. Very often the pkice will be nearly 
closed, and then a rush of urine will come and 
break it open, destroying all that had been done, 
[n old cases also the edges are apt to be very thir? 
and ragged, and the orifice large, so that a perfect 
junction is next to impossible. If there is any scro- 
fulous tendency also the probability of its ever clos- 
ing is very small. In many of these cases, as in 
external abscess of the Prostate Gland, the wound 
may be perfectly healed for a time, but break. out 
again without any apparent reason. 

Many of these deformities can be corrected in 
infancy, or early youth, «nd they should therefore 
be always shown to experienced surgeons imme* 



DISEASES OF THE P*N!S. \4tf 

diately they are detected, and not concealed^ as they 
are by some parents. — It is difficult to say to what 
age success is possible in such cases, probably 
there is no particular limit ; some have been ope- 
rated upon at thirty, and others even at forty, or 
more, but the earlier the better. — In general the 
development of the Penis is more or less imperfect 
above the false opening, and when the full genera- 
tive power is desirable this must also be corrected,, 
by means which I will explain in another article. 
Sometimes it is even necessary to effect this deve* 
lopment before the operation can be performed. 

EPISPADIAS. 

This affection is precisely the reverse of the 
former, the false opening being on the top of the 
Penis instead of underneath. It is m.uch more rare 
than Hypospadias, and is somewhat more difficult 
to treat, owing to the opening being farther from the 
natural passage. The orifice will sometimes be 
near the end and sometimes close by the Pubic bone, 
occasionally being a little on one side. 

The mode of operation is exactly the same as in 
Hypospadias, but as before remarked, it is more dit- 
cult and the chances of success are less. 

PRYMOS'IS. 

in this malformation the skin of the prepuce comes 
completely over the Glans, and the opening at the 
•nd is so contracted that it can never be drawn back. 
This condition of the organ, is both unpleasant 
annoying, and dangerous, because it prevents proper 
3ftcanlin*»8s, and thus d : sposes to various diseases. 



146 DISEASES OF THE PENIS. 

The secretion of the Glandulae Odorifera is apt t§ 
accumulate under the skin, and in conjunction with 
the urine to create serious inflammation. Calculi 
will also form, like those in the Madder, and the 
swelling will sometimes be so great that neither 
semen nor urine can pass. In many cases of Phy- 
mosis the swelling is so great as to cause severe 
pain during erection, and the Glans is so compressed 
in consequence, that the semen cannot escape, and 
thus the individual is impotent. 

The means of giving relief are very simple. It 
is only necessary to introduce an instrument care- 
fully under the skin and cut up the Prepuce, so as 
to let it open. This may be done with but little 
trouble or pain, and with slight danger from inflam- 
mation if a simple dressing of cold water be applied. 
It is sometimes necessary to cut off the edges of the 
wound a little with scissors, particularly if they are 
anyways callous, or ragged. The whole prepuce 
is at times so hard and unyielding that it becomes 
necessary to practise complete circumcision. 

PARAFHYMOSIS. 

In this case the prepuce is drawn back, over 
the Corona Glandis, compressing the organ like a 
tightly, drawn cord. In some it is permanently in 
this situation, while in others the patient has drawn 
it over the Glans and has not been able to slip it 
back again, owing to the smallness of the opening 
and the swelling of the parts. When it results from 
this cause it will often be sufficient to use cold lo- 
tions for a time, to reduce the swelling, and lubri- 
cate the parts with some Belladonna Ointment, when 
lt»e prepuce may be drawn over without difficulty 
14* 



DISEASES OF THE PENIS. I4T 

Sometimes a little bleeding may be necessary, or a 
few leeches on some of the neighboring parts. 

The only certain cure is to cut the Prepuce, 
in the same way as for Phyrnosis, which will of 
course prevent any return of th*, difficulty. Pa 
tients with Phyrnosis are very apt to change that 
trouble into Paraphymosis by their attempts to draw 
the Prepuce hack, and to stretch it. 

In young children both these states may exist 
without causing any great annoyance, but as they 
approach puberty serious trouble may be expe- 
rienced suddenly. It is, therefore, very necessary 
for parents to observe such accidents, and watch 
their progress, particularly near puberty, so that the 
Surgeon may be applied U> in time. Many a man 
has suffered for life, both physically and morally, 
from neglect of this kind while he was a child. 

I once knew an instance of a youth who had a 
permanent Paraphymosis that had never caused him 
any trouble till he was about twelve years old, 
when it began to pain him whenever he urinated, 
and later, when erection occurred, severely. When 
about fourteen years of age, in consequence of* 
some unusual irritation, the parts swelled very 
much, and the Prepuce was drawn so tightly around 
that the Glans was perfectly strangulated Not 
being in the habit of speaking about such matters 
to his parents he concealed it till the agony was so 
great he could hold out on longer. On a physician 
oeing sent for it was found that the parts had begun 
io gangrene, and the urine had been retained so 
long that inflammation of the bladder had also 
supervened. By prompt treatment the most urgent 
symptoms were alleviated, and after a time the 
Piepuce was cut through, so as to give permanent 



148 DISEASES OF THE PENIS. 

relief. The patient, however, came very near 
losing the organ itself, if not his life, through want 
of a proper confidence and habit of communication 
between him and his parents. 

Both Phymosis and Paraphimosis may result 
from the inflammation attendant upon other diseases, 
particularly those of a venereal or syphiloid cha- 
racter, and then it is usually only required to 
remove the primary affection to give relief, though 
sometimes the operation is needed. 

It is necessary to state here that many a child has 
become addicted to Masturbation, and has perished 
in consequence, simply from having a neglected 
Phymosis ; the secretion accumulating under the 
skin, causing constant irritation and leading to mani- 
pulations that would not otherwise be thought of. 

I have known many men operate upon themselves, 
and successfully too, for both these affections; a 
penknife, or pair of scissors being thf only instru- 
ment used. No cutting should, howevei, be prac- 
tised on these parts when there is venerea) disease- 
becaus^- the wound may innoculctie, and thus the 
disease be spread. 

In some persons the Prepuce is absent altogether, 
and attempts have been made, under such circum- 
stances, to form a new one, by bringing forward 
the skin below, but no great success has attended 
the operation- por is it at all essential. The only 
reason given far desiring it is that the Glans is api 
to lose part of ; ts sensibility when constantly un- 
covered, which is undoubtedly the case, as may he 
seen among Jews nnd others who have been cir- 
curnscised ; but this a- slight inconvenience, even if 
it is not often an advantage, as it certainly mak** 
the person less liable to confr?<: 4 disease 



DISEASES OF THE 1ENIS. 1A9 



*TANT OF DEVELOPMENT, OR CONGENITAL SMALL 
SIZE OF THE PENIS. 

It is sometimes difficult to say whether the Penis 
is ton short or not, because there is no precise stan- 
dard of limitation, and in different people the 
development varies very much. In some persons it 
never grows from the condition in which we find it 
in childhood, while in others it wnl attain a medium 
sixe, and in others again it will be nearly rudimen- 
tary. This may also be totally independent of any 
deficiency in the other organs, though most usually 
they correspond more or less. Thus I have seen a 
man of forty years of age in whom the Penis was 
only two inches long, and about as thick as the little 
finger, but whose Testes were of a full average 
size, and who had strong sexual feelings, with a full 
flow of Semen. Sometimes the orgco can scarcely 
be traced at all, being merely like a wart, or small 
tumor. 

When the non-development of the Penis is depen- 
dent upon a general torpor of the genital organs, 
moie especially of the Testes, their action must be 
aroused, and their functions fully established, in the 
manner pointed out in the chapter on the Testes. It 
this can be done the Penis may be made to grow 
even to an advanced period of life, as I have there 
*hown. 

In those cases in which the Penis alone is not 
«ufficiently developed a different treatment is re- 
quired, as it is simply a local effect we wish to 
produce. In some of these instances the organ, 
though small, is capable of perfect erection, and 
both connexion and impregnation may be effected 



150 DISEASES OF THF PENIS. 

by its means ; it is not then a matter of such urgenl 
moment for any improvement to be effected, though 
under certain circumstances it may be desirable. 
More frequently, however, erection either does not 
take place at all, or so imperfectly that coition is 
impossible, and the flow Of Semen is so imperfect 
and irregular that impregnation can seldom be 
effected, even artifically. Under such circum- 
stances it is a matter of the greatest consequence to 
produce an increased development, so that both 
these functions may be performed, and it may be 
both new and pleasing, to many persons, to learn 
that there are means by which this desirable end 
may be often attained, even under the most un- 
promising circumstances. It is proper to remark, 
however, that the cases now referred to are those in 
which the small size is congenital, or existing from 
birth, and not those in which the organ has 
decreased, from disease or excess, after having been 
of average development, though even in many 
of them, when the constitutional stamina is not too 
much impaired, the same means will frequently 
restore what has been temporarily lost. 

The causes that prevent the proper development 
of this organ, as well as of others, are of course 
unknown in those cases that are congenital, because 
they operate before birth, but in those that become 
arrested during childhood or youth, we generally 
trace it to early masturbation, blows on the Tes. 
tides and other accidents, or to some severe disease 
which has impaired the vital energy very much. 
Some diseases are particularly apt to affect young 
persons in this way, as the Mumps for instance 
irhich often make the Testes swell. 

Scarlet Fever and Measles, when severe, I have 



DISEASES OF THE PENIS. 

ko^wn to seriously injure the virile power, but not 
bo frequently as rickets or scrofula. 

A similar deficiency is sometimes found *n 
females, in some the Uterus or Ovaries being ver> 
small, though the Vagina may be large enough to 
allow of coition, while in others these organs will 
be of usual size, but the Vagina will be too small, 
so that marriage is not allowable. In my work on 
"The Diseases of Woman," I refer to such cases, 
and explain what can be done to relieve them. 

To effect an enlargement of the Penis, in addition 
to every means proper to improve the general health, 
and impart stamina, there are certaki mechanical 
and manual applications, the effects of which, under 
right direction, are often of the most unexpected 
and pleasing character. To understand the nature 
of these, and their mode of action, it is necessary 
to bear in mind the anatomical structure of the or- 
gan, and the requisites for erection. That pheno- 
menon, it will be recollected from our previous de- 
scription, depends essentially upon the filling up of 
the vessels and cells of the spongy and cavernous 
bodies with blood, and of course if there be any 
fault in their make or mode of connexion, or if the 
blood does not flow into them, erection cannot take 
place. Now this is precisely the fault that is found 
to exist in most of the cases of non-development 
above referred to, and is what requires to be cor- 
rected. Or dissecting such cases after death we 
fhu that the cells and minute vessels have never 
been congested or filled with blood, and conse- 
quently the organ has never been able to grow noi 
become erected. In the same way after long conti- 
nued excess, or de nlitating disease, the artery seems 
to lose its power of transmuting the blood with suftv 



152 DISEASES OF THE PENIS. 

cient vigor, and the cells, from want of being filled, 
decrease in size, and eventually grow up more or 
less, causing the organ to shrink. This is the rea- 
son also why absolute suppression of sexual excite- 
ment, if continued too long, wiil make the organ 
waste away, instead of increasing its power, as 
many uninformed people suppose. 

The object to be accomplished it will be seen is to 
open these cells, and cause the blood to flow into thera, 
so as gradually to increase their size and dispose 
them to fill spontaneously, from natural excitement 

In some persons, who have always shunned all 
thoughts of sexual matters, from a notion that they 
are improper, it is sometimes sufficient merely to 
encourage such thoughts to a proper extent, and the 
excitement this gives rise to in the parts will act 
favorably on their growth. In others the daily em- 
ployment of a warm local bath, with brisk rubbing, 
and the use of a stimulating ointment, which I shall 
hereafter describe, will be found still more effica- 
cious ; and if this treatment be regularly persisted 
in, under judicious direction, combined with proper 
internal remedies, it will succeed in a large numbei 
of the cases ordinarily met with. It is requisite, 
however, that the external and intern ai stimulants 
should be exactly apportioned to trie wants and ca- 
pabilities of the individual's system, and that a strict 
watch should be kept upon the action ami etfects of 
each, so as to know when to increase or decrease 
their power, and when to suspend their action alto- 
gether. Until over forty years of age, if the form 
of the organ is perfect, and its development not too 
small, a considerable change may be effected in thia 
way, though the younger the patient is the mort 
readily the parts are acted upon. 



DISEASES OF THE PKNIS. ]53 

I once had a patient call upon me from Cuba, the 
son of a rich planter, who was troubled with this 
imperfection, and who was intensely desirous that ft 
might be remedied so as to allow of marriage. — He 
was about twenty-three years of age, and of a strong 
robust habit of body, with excellent health. On 
examination the Penis was found about two i?hches 
and a half in length, and about as thick as the fore- 
finger, properly formed, but with little more sensibi- 
lity than any other part of the body. The Testicles 
were fully developed, and the sexual feeling was 
quite strong. There had been frequent emissions 
of semen, under strong excitement, but no erection r 
and consequently no connexion could take place.— 
Upon enquiry I found that he had been brought up 
to a very rigid code of morals, and had imbibed 
certain notions about the necessity of not indulging 
sexual desires, if the mind was wished to become 
powerful, and as he was very ambitious of distinc- 
tion he made a perfect anchorite of himself. The 
bodily effe-et of such a course has been seen, — its 
effect on the mind was to make him wayward, irri- 
table and unhappy. A short time before he came 
on to see me he met with a young lady with whom 
he fell violently in love, and immediately the desire 
for marriage arose, but with it came the fear that 
he was totally incapacitated. The new desire, so 
strongly awakened, together with the fears he felt, 
dperated so intensely upon him that he became 
almost furiously insane. On assuring rtim,' how- 
ever, that there was a reasonable prospect of his 
attaining a more perfect state he became calmer, 
and patiently submitted himself to the prescribed 
*reatment. 

The fir^r object was to induce as much heat as 



154 DISEASES OF THE PENIS. 

• 

possible in the organ, so as to promote the flow of 
olood to it. This was accomplished by the use of a 
hot stimulating lotion, two or three times a day, fol- 
lowed by brisk rubbing with flannel and soft brushes, 
In three weeks the effect of this treatment became 
obvious, — erections occured, partial at first, but 
ultimately quite forcible, and the organ evidently 
began to increase permanently in size. In additior 
to this he was directed to use some stimulant drops, 
and tp live generously, to impart as much vigor as 
possible to the Generative Organs. The flow of 
semen soon became much larger than before under 
this treatment, and the procreative instinct much 
more powerful. There was still one fault, however, 
and that was a want of power in the muscles that 
assist in erection and coition, more especially in the 
Erector Penis muscle. This was remedied by fre- 
quent shampooing, and pressing of their fibres till they 
acquired volume and firmness, the sams as any 
other muscle would do under similar treatment. 

This system was rigidly pursued for six months 
under my own inspection, at the end of which time 
the Penis was four inches long, when erect, and quite 
firm, so that coition was possible. At this period 
he was desirous to return home, and as he was 
evidently determined to pursue the same treatment 
himself, I consented to his doing so, though I would 
have preferred for him to have staid still longer. I 
heard from him eleven months after his departure, 
and he then informed me that the improvement had 
still continued till he no longer thought it necessary 
*o proceed. He was then intending to marry id 
about three months. The delight and gratitude of 
this young man were unbounded, rescued as he was 
from the very depths of despondency and despair 
15 



DISEASES OP THE PENIS. 155 

and raked, as lie expressed it, to the highest pitch 
of human happiness." 

In the course of my practice I have had numer- 
ous similar cases, some of them resulting satis- 
factorily from the same treatment, and others 
requiring a different plan, which I will now explain. 

When the means above described fail to induce a 
sufficient flow of blood into the erectile Tissue an 
instrument is employed, called a Cone/ester. It 
consists of a tube, the size of which is adapted to 
the organ, to which is fitted an exhausting Air- 
Pump. The Penis being introduced into this tne 
air is more or less exhausted, and the blood of 
course flows into the contained part immediately. 
So great is the rush of blood, in fact, that if the ex. 
haustion was continued too far, or made too sud- 
denly, the Tissue would burst. In a short time, 
with care, the part begins to swell and look red, and 
erection, more or less complete, soon takes place. 
This never falls, unless the vitality of the part be 
totally gone, or the structure of the Tissues com- 
pletely disorganized. I have seen some of the most 
remaikable results follow from the use of this in- 
strument chat were perhaps ever witnessed, in a 
medical way. I have known patients in whom the 
whole organ was not half an inch long, and without 
the slightest tendency t<? erection, and yet the Con- 
gester has caused it to grow, and has given it 
power, until perfectly capable for the purposes 
it was intended for. Sometimes there only appear* 
a simple protuberance, like a Tumor, while at othet 
times the organ is long but surprisingly small, and 
quite flaccid, but still the Congester will impel the 
Dlood into the Tissues and produce the effect de. 
sired. Sometimes, it is true, we cannot gain so 



156 DISEASES OF TKE PSN.S. 

much as wijuld be desirable, b it nearly always suf- 
ficient for Nature's requirements, and very often as 
perfect in condition as if no imperfection had eve; 
existed. 

In conjunction with the Congester it is ala? 
requisite, in most cases, to act upon the muscles, by 
snampookig, as they are usually deficient in power 
and without their action the Penis cannot erect 
though it may become firmly congested. 

This practice of shampooing the Perineal and 
Genital Muscles, to improve the erectile power, waa 
originated in Asia, but has been known and prac- 
tised in Europe for many years. The process is 
both tedious and somewhat painful, and requires 
both skill and knowledge in the operation. In 
Turkey men make a regular business of this, and 
they succeed admirably. In this country it is 
necessary to direct the patient himself, or hired 
assistants, and the constant supervision of the medi- 
cal man is therefore required. To perform this 
operation to advantage, it is best to have the parts 
made peifeetly bare and smooth, and then lubrica- 
ted with a proper ointment. The operator then 
presses the end of the fore-nnger firmly into the 
muscle, passing it along backwards and forwards, 
in the direction of ihe fibres, till the muscle 
becomes hot and swells. Uhis is done with all the 
muscles whose action is required, and it should be 
pr&cused every day till the effect is manifest. At 
Lrst the shampooing causes considerable pain and 
soreness, but this soon passes away, and then 
the muscle feels firm to the touch, and is found 
to be much larger. There are two men in 
N T ew York whom I have had occasion to employ 
for this purpose with so many patient* that they 



DISEASES OF THE PENIS. 157 

have become quite expert, and I* can always de- 
Dend upon success from their efforts when it is 
possible. 

It must be recollected that the various means 1 
have described require a long period to be put fully 
in operation, and are such as can be commanded only 
by those who have plenty of both time and money 
at their disposal. 

With those who are fortunately so situated as 
to have these essential requisites the gain is cer- 
tainly great and well worth what it costs, and I 
have never known one who v/as successfully treated 
who did not say he thought no price could be dear 
to pay. Many a man has been saved from insanity 
or suicide by these means, and many a domestic 
hearth has been made the scene of happiness and 
delight that was previously the abode of recrimina- 
tion and despair. 

I have treated patients of all ages, from mere 
youths up to mature age ; the oldest I recollect 
being about fifty-two y and in most of them with a 
success that has been as pleasing to them as it was 
gratifying to myself. Some of the means I have 
mentioned are scarcely known in this country, 
and are certainly not put into general practice ; the 
account I have given of them may, therefore, be the 
means of giving many sufferers the first intimation 
that help can be had. In some fictitious works 
Dn these subjects, pretending to be written by cim- 
uent men, but really made up only for sale, such 
things are partially referred to, but in sucn a way 
as to be of no real utility. In one of these an 
account is given of many drugs, said to be proper 
to use in cases of debility, some of which are 
highly dangerous, and nany of which do not exist 



158 DISEASES OF THE PENIS. 

m all. The present book is, I believe, the oaIj onn 
on these subjects that is really scientific, as well as 
popular. 

One of the most remarkable cases 1 ever treated 
was that of a young man of nineteen, who was 
brought to me by his father, himself a physician. 
In this person there was scarcely any appearance 
of a Penis, but only a small Tumor, not projecting 
more than a quarter of an inch, in the centre or 
which was the opening of the. Urethra. It was 
quite sensitive, however, and seemed rather as if 
compressed downwards. The Testes were of 
average size, and the semen secreted in sufficient 
quantity, occasionally, so that little seemed wanting 
but sizeih the organ. I at once told his father tha< 

felt assured much improvement could be ob« 
iained, but that it would require much time ana 
attention, with great endurance on the part of the 
patient himself. They were both delighted to heai 
this, and the young man testified his desire that I 
should commence the treatment immediately, which 
I did. A Congester was constructed specially foj 
the case, and applied daii}'. The lower part was 
of glass, so that its operation could be seen, and i. 
was observed that immediately the tube was ex- 
hausted of air the Penis seemed to be drawn for 
ward, and extended to full two inches. The patieat 
complained of great pain in the part during the 
operation, from the rush of blood into the cells, and 
it remained exceedingly tender for several days 
after. The Congester was not applied again till 
this soreness had subsided, but in the meantime the 
stimulating hot lotions were used, and shampooing 
of the muscles was practised. It was observed 
that even the first application had evidently caused 
15* 



nrSEASES OF THE PENlS. 159 

Rome protiusian, and the young man remarked thai 
the internal sensations were different from what he 
had ever before experienced. The internal medica- 
tion in his case was of a more stimulating charac- 
ter than ordinary because the sexual impulse wag 
not very strong, and only occasionally manifested. 
His diet was directed to be as nourishing as possi- 
ble, with wine for drink, and every day he rode out 
on horseback after a warm bath, followed by brisk 
rubbing of the whole surface of the bod}/. After 
the first effect had subsided the Congester was used 
daily, and followed by the shampooing, for ton 
weeks., by which time a permanent advance had 
been made, The Penis measured full two inches 
in its ordinary state, and in the Congester was ex- 
tended to three. Partial erections occurred at times 
during sleep, and the procreative instinct became 
more active and permanent. I then directed him 
to return home for three months, and only continue 
the general treatment, so that I might see if Nature 
herself could complete the work. At the end of 
three months he came back to me with a still furhpT 
improvement, though slight. He was then put 
under the old treatment again, and this time the 
effects were still more satisfactory. In two months, 
under the Congester, the Penis measured four 
inches, and in the ordinary state remained perma- 
nently at three, with firm erections and copious 
emissions of semen. Finding, therefore, that e\ery 
requirement of Nature could be fulfilled even as he 
was, and that further improvement would evidently 
take place with th? growth of the system, I desisted 
from further treatment and sent him home cured. 
His father was as much astonished as gratified, and 
another physician who had seen him and pronounced 



J 60 DISEASES OF THE PENIS. 

him a Hermaphrodite, would scarcely believe it wa» 
the same being. 

Another case was that of a man who had married 
at thirty-two, though imperfect, from a mistaken 
idea that marriage would effect a cure. The result 
may be imagined ; the misery of two human beings 
could -scarcely be more complete. In his despair a 
friend brought him to me for my opinion. On ex- 
amination I found the Penis not very small, nor in 
any way imperfect, but it had never been everted. 
and seemed incapable of being so. The semen was 
secreted plentifully enough, and the instinct was as 
strong as was desirable. I told him without any 
hesitation that he could be made perfect enough for 
his marital duties in a short time, providing he 
would follow strictly my directions, and submit to 
my treatment, which he was willing enough to do. 
The Congester was applied, and with the happiest 
results. At the third application a powerful erec- 
tion was produced that did not subside for a con- 
siderable time, owing to want of perfect action in 
the cavernous veins. This, however, was soon 
remedied, and in two weeks, by the use of the Con- 
gester alone, natural erections occurred spontane- 
ously, as perfect as could be desired. In a word he 
was perfectly cured, and is now the father of two 
children. 

I have also had numerous instances of persons 
who had lost the power of erection from sexual and 
<>ther excesses, from mental anxiety and from tho 
effect of debilitating "disease. In a great port 7 ' en of 
these the result has also been favorable, though in 
many all vitality had left the organs before I saw 
them, and in others the structure was completely 
disorganized Many young men especially, vio 



DISEASES OF THE PENIS. ]C)J 

lirr? of Masturbation, whose organs had ceased 
growing, have by these means been rescued from 
»mpotency find imperfection, Many a man of ma- 
lure age also, whose powers were unimpaired, bu» 
who could not exercise them, owing to this particu- 
lar debility, has been restored to his former capa 
biiity in the same way. 

The Congester is not an instrument adapted fo/ 
self-treatment, and I would not advise any one to 
attempt its use without proper directions and super- 
vision. I have known it to do great mischief] with 
inexperienced people, and fail of accomplishing any 
^ood. In one man who had it applied too forcibly 
and suddenly the cells were nearly all ruptured, or 
broken into one another, so that severe inflammation 
was produced, and the power of erection was for 
ever lost by any means. 

There are some means, however, that all persons 
may use, provided they know when they, are appro- 
priate to the case. The pressing and shampooing 
may be partially practised by the patient himself, 
though very imperfectly, but the general directions 
as to diet and exercise may be observed of course 
by all. Perhaps, however, there is no other 
functional disability so difficult to treat, or that 
requires sc much skill and such unremitting at- 
tention. 

In addition to the means already described there 
are some others occasionally useful, but which are 
not so generally applicable. Galvanism is some- 
times an excellent agent, when there is nervous in- 
sensibility combined with the other disabilities. A 
very good mode to use it is to galvanize the metallic 
congester, while the organ is engaged within it. 
The power must not be too great however, nor th>* 



163 ASEASES OF THE PENIS. 

Application " v\iiitinued too long, or there will be*par« 
tial paralysis. 

The French have a practice of Flagellation^ 
which is sometimes very efficacious, and will induce 
erection in a short time. It is rather severe, how- 
ever, and few have courage or endurance suffi- 
cient to continue it long enough to derive full bene- 
fit. The Flagellator is made of six or eight small 
twisted thongs, about as thick as a violin string, but 
very flexible, and about eight inches long. To ope- 
rate with it to the best advantage the parts should 
oe made bare, and perfectly smooth, and the Fla- 
gellator must then be applied the whole length of 
the Penis, ana on the Pubes, Perineum, and inside 
of the thighs, till the flesh is quite red and smarts. 
The flogging must never be so hard, or long conti- 
nued, as to make any bruises, nor leave any soreness, 
but merely sufficient to make it red and feel hot, 
with slight smarting. Usually about a quarter of 
an hour is sufficient, every day. — After the flagella- 
tion the parts should be well bathed in hot water, 
and the patient should recline. 

This treatment may seem singular to those who 
never heard of it before, but it is undoubtedly more 
efficacious, in numerous cases, than any one could 
well believe who had not seen it practised. I have 
known many patients resort to it with the happiest 
results, who could not stay with me long enough for 
the usual treatment. — In some it will produce pow- 
erful erections the first time, and lead to an influx 
of blood to the parts that soon stimulates their 
growth. 

Firing is another practice that may be resorted to, 
if all others fail, for rousing the dormant energies 
of these parts in deficient growth. — It consists iv 



DISEASES OF THE PENIS. 1 63 

burning the parts with a smooth iron button made 
hot by plunging it in boiling water. The parts are 
first made smooth and then the button is taken out 
of the water and pressed suddenly on, repeating it 
as fast as possible, till the whole length of the organ 
has been operated upon. No part should be touched 
twice, nor should the iron remain on more than an 
instant. The pain is very slight, and no blister is 
raised, the places only turning white at first, and 
afterwards remaining red. — The firings should be 
repeated only at intervals of three or four days, 
waiting till the effects of one are gone off before 
another is practised. 

This process is sometimes astonishingly effective, 
a single application producing such a powerful effect 
that no further treatment is required. — Care is re- 
quired, however, not to produce too much inflamma- 
tion, nor to operate too near the Teste? Sometimes 
the development will be much less on one side of 
the Penis than the other, or less in the Corpus Spon- 
gn<5iim than the Cavernosum, so that the organ will 
not be straight but cui ved ; or it may be straight in 
the ordinary state but not capable of erecting in all 
parts alike. This state of permanent chordee is 
perhaps better treated by the flagellation or firing 
than by any other means, because they can be ap. 
plied locally, and only to the affected part. 

It may perhaps be as well to remark here that a 
modification of the congester is sometimes of great 
service in certain torpid states of the female organs 
and that some of the other treatment is also occa* 
sionally applied to them, in a modified form, witfi 
the haopiest results. 



164 DISEASES OF THE PENIS. 



PARALYSIS OF THE MUSCLES OF THE PENI3> 

I first observed this affection in the person of a 
patient, aged about fifty-three, having previously 
seen no account of it whatever. Since then I have 
met with other cases in persons of different ages, 
-hough always past thirtv. In the first case it was 
apparently the forerunner of general Paralysis, an 
attack of which was experienced some two months 
later, but partially recovered from. In other cases 
I have also regarded it as a sign that general 
Paralysis or Apoplexy was threatened, though i* 
did not always immediately follow. 

In this disease the secretion of the semen is not 
affected, nor is the flow of blood interfered with, 
the organ becoming as full and as firm as before, 
but there is no power to raise and direct it. The 
first case yielded in the course of a week to Galva- 
nism, and some others were alleviated by warm 
baths and stimulant lotions, but others again re- 
mained notwithstanding all that could be done. 
These were mostly old people, with an obvious pre- 
disposition to Paralysis. In some cases I have had 
reason to think that the attack was brought on by 
previous sexual excesses. 

PRIAPISM, OR INVOLUNTARY ERECTION. 

By this term is meant an unnatural and involun. 
tary erection of the Penis. In some persons it 
occurs only at intervals, but in others it is constant 
for a long time and constitutes a real state of dis. 
ease. Priapism is not always accompainitd by 
pleasurable feelings, though it usually is, but ou 



DISEASES OF THE PENIS. 1 ft*, 

the contrary it is sometimes painful. In some pe* 
sons it comes on suddenly, without any premonitory 
symptoms whatever, but in others it commences 
gradually, and is frequently indicated by a sense of 
fulness in the Testes, or of pain and heaviness in 
the head. The patient is utterly unnble to control 
the erection ir the slightest degree, nor in general 
can he by an means prevent it while the morbid 
state continues. I have known men who always 
suffered from this immediately they went to bed, so 
that their rest was much disturbed. In one young 
man especially the health suffered seriously. Every 
night when he had been in bed about an hour the 
Priapism would commence, and such was the effect 
on his nervous system that sleep was out of the 
question, while it continued. Very often for seve- 
ral nights together he did not sleep more than a 
single hour, and yet there was in general but little 
sexual feeling, and that only at first, the sensation 
afterwards being merely one of intense and harrow, 
ing excitement. The next day he suffered fron 
headache, pain and weakness in the back, and sore- 
ness in the organ itself. In no instance did he have 
emissions during these attacks, and this is a pecu- 
liarity I have frequently observed. 

The causes of this troublesome affection may be 
various, and sometimes can only be surmised. In 
many cases, especially among young persons in 
vigorous health and of perfect development, it 
results from an actual excess of semen, which first 
oauses Spermatocele, and then leads to a chronic in- 
flammatory condition, by whieh the erection is con 
stantly excited. This condition may exist in those 
who are not at all disposed to lascivious thoughts, 
End even in those who are constantly striving 



J6(j DISEiSES OF THE PENIS. 

against them, though it is of course made much 
worse by indulging such thoughts. Most common- 
ly in these persors the Priapism continues till an 
involuntary emiss.on takes place, and then it disap- 
pears for a shon time, till the semen has again 
accumulated in too great quantity. There are 
some, however, in whom th/-5e emissions never oc- 
cur, and in them the Priapism is frequently a 
constant state and becom* * eventually a real dis- 
ease. In the early stages marriage is of course the 
only certain and effectual remedy, though much 
mitigation may be effected by means that will here- 
after be pointed out ; but when the organs have 
become diseased or chronically inflamed, marriage 
would be highly improper till a healthy condition is 
restored. 

It is not always the case, however, that Priapism 
results from seminal accumulation, or superabun- 
dant energy, for ,t is sometimes experienced by 
those that are rainer deficient, or at least below the 
average. I have even observed it in those that 
were nearly sterile. In these cases it is induced by 
a diseased condition of the brain, and is usually 
considered a mere moral affection, though like 
many other moral affections it is simply an indication 
and consequence of physical disease. In this state! 
there is constant desire at fir«$t, sometimes amount- 
ing to furious erotomania, but eventually all feeling 
and desire will vanish, while the Priapism will 
remain, and sometimes even continue after death. 
Long-continued debauchery is also sometimes fol- 
lowed by obstinate Priapism, and eventually by 
absolute impotency. In the Medical Repository for 
April, 1824, is a case of this kind communicated by 
Mr. Callaway. The patient, during a fit of in- 
16 



DISEASES OF THE PEMS. 157 

toxication associated with a female three v tir^es in 
succession, having emission each time, but no sub. 
sidence of the erection, a circumstance which I 
have often known to occur during intoxication. T© 
his great surprise the erection still continued the 
next morning, and it remained for sixteen days, in 
spite of all the means used to reduce it. The surgeon 
then made an incision with the lancet, just below 
the Scrotum, and immediately theie escaped a large 
quantity of thick black blood, mixed with clots. 
On pressing the Penis the blood all flowed out of it, 
by the opening, and it immediately became flaccid. 
The man was impotent, however, afterwards, for no 
erection ever took place again, owing probably to 
the cells of the Corpus Cavernosum and Corpus 
Spongiosum having grown up, from inflammation. 
The continued erection was probably owing, in. this 
case, to inflammation at the lower part of the Penis, 
or in the Perineal Muscles, owing to which the 
veins were so pressed upon that the blood could not 
return by them, or perhaps the veins themselves were 
swollen and closed up. Some men have brought 
on a similar condition of the parts by keeping them- 
selves too long excited, without allowing emission 
to take place, a practice which is very reprehensi- 
ble, and which not unfrequently causes Spermato- 
cele, or even Orchitis. 

If the erection be too powerful, or too long con- 
tinued, it will often cause temporary impotence by 
»o compressing the Urethra that the semen cannot 
traverse along it When" this occurs the semen 
either escapes afterwards, slowly, or els* 3 mixes 
with the Urine. 

Long continued priapism is always hurtful, and 
is very likely to destroy the power of erection alto* 



168 DISEASES OF THE PENIS. 

gether, ultimately ; it is, therefore, desirable that 
we should know its various causes, and the b j sfc 
means of treating it. Persons who are not properly 
informed respecting its nature are apt to consider it 
as simply a result of loose thoughts, and that only 
a proper effort is required to overcome it. This is 
a great mistake, as we have a.lreadv shown, and one 
which leads both to the neglect of proper treatment 
and also to uncharitable judgments. 

In addition to the general causes of this affection, 
already enumerated, there are also several others 
that have a tendency more or less to originate or 
aggravate it. Want of proper cleanliness, hot 
clothing, particularly if it chafes, and the too fre- 
quent use of warm baths may be mentioned, and 
also several other diseases, such as gonorrhoea and 
spermatorrhoea. The Gravel and inflammation of 
the bladder also excite the penis very much in some 
persons, and the piles will do the same in others. 
Stimulating and highly-seasoned food, and hot or 
vinous drinks have the same tendency, and sleeping 
in a very warm soft bed is apt to assist. The use 
of bougies and injections will often produce pria- 
prism, and certain medicines still more frequently. 
Cantharides, Phosphorus, and Opium, perhaps act 
the most energetically in this way, but there are 
others whose effects are very decided, and they all 
act very differently at times and upon different per- 
sons. The reading of lascivious books, or listening 
to loose conversation, undoubtedly operates in a simi- 
lar manner to these physical agents, and the indul- 
gence of lying in bed of a morning, half awake, has 
the same tendency. 

The treatment of priapism must of course be regu- 
lated by the cause that produces or aggravates it. 



DISEASES OF THE PENIS \ fit) 

When it is mainly produced by a want of properly 
regulating the mind, or controlling the desires, the 
cure must depend entirely upon the individual's 
own self, or rather upon his strength of mind. 
When it arises • from a too stimulating diet and 
jrink, aided by a deficiency of muscular exercise, 
which is very often the case in yocng persons, 
nothing more is required than to live low, drink 
cold water, keep the bowers free, and. bathe the parts 
frequently with cold water. If there be a too great 
secretion of semen, with no sufficient involuntary 
discharge, marriage is indicated. If there be any 
other disease that must first be cured, and if there 
be heat and pain in the head, particularly in the 
back part, it must be frequently bathed in cold 
water, and kept cool, precisely the same as for in- 
flammation of the brain, of which in fact the pria. 
pism is only a symptom. During the paroxysm the 
parts may be bathed with warm water or a warm 
Enema may be given. Sitting in a warm bath is 
sometimes the bfist plan, or over hot steam. In ob- 
stinate cases Leeches may be applied to the Penis, 
or a vein may be opened in it, but one of the best 
remedies is to give sufficient Tartar Emetic to cause 
sickness ; this generally relieves the priapism. 
Two ordinary sized pills of Gum Camphor have 
been found efficacious in some persons, and simple 
fasting, till faintness ensued, in others. When the 
paroxysm is over strict attention must be paid to the 
diet, clothing and general conduct, as before indi- 
cated, to prevent a recurrence. 

I have had some patients with whom I have had 
to use various mechanical contrivances, to prevenS 
the priapism occurring at night, or while the cura 
>vie means were being employed. A simple band 



170 DISEASES OF THE VENIS. 

age, drawn tightly round the organ when flaccid^ 
will often prevent the erection, but a better plan is 
to use two grooved pieces of wood, one of which 
must be placed above the penis and the other below 
so that they can be drawn together by a band, 01 
screw. The organ can be compressed so tight!) 
by this machine, while in its ordinary state, tha 
erection cannot possibly take place. Several ot 
my patients were unable to sleep till provided witl 
an instrument of this kind. 

The longest period I ever knew an attack of pria. 
pism to last was six weeks, and that was in a mar- 
ried man. It first began during a short absence 
from home, and was kept up by the impossibility 
which he experienced, on his return, of discharging 
the semen, owing to the swollen and inflamed state 
of the parts. He suffered from spermatocele, and 
slightly from orchitis, and was further troubled by 
violent desire, which he was unable to gratify. 
Connexion was possible, but without emission, and 
consequently without gratification. I was much 
afraid, from the violence of the attack, and from the 
symptoms, that permanent impotence would follow, 
but by careful treatment, p^rseveringly attended to, 
be completely recovered. 

I knew one instance in which priapism followed 
a blow on the head, from which the person died, 
and it remained after his death, the parts being sj 
firmly congested, and so rigid, that nothing had any 
effect upon them. — In several instances I have 
known priapism follow the application of blisters to 
the neck and back, even in young children, a fact 
that should not be lost sight of, either by physicians 
•r parents. 

16» 



DISEASES OF THE PENIS. 1 T 1 



DISEASES OF THE URETHRA AND THE PARTS CON 
TUNED THEREIN. 

The Urethra, as before explained, is a long canal 
passing from the bladder down the penis, for the 
purpose of conveying the urine out of the body, and 
also for conducting the semen, it being the common 
passage for both fluids. 

The membranous walls of the Urethra are rather 
thick, and are elastic, and the interior is lined with 
a mucous coat similar to that inside the bladder. 
The size of the urethra is different in different parts ; 
ihus a little way in from the external opening, or 
meatus urinarius, it expands considerably, and then 
contracting again expands still larger at about two- 
thirds of its length down. The substance of which 
the walls of the urethra are composed appears not 
to be the same in its whole length, being membra- 
nous in some parts and in others spongy, almost like 
the Corpus Spongiosum. It therefore participates 
in the act of erection, and its concurrence is very 
essential to the proper emission of the semen. Where 
it first opens at the neck )f the bladder it is wide, 
but drawn together by ( ertain muscles, excepting 
when the urine is evacuated, when the muscles 
relax and allow it to open. It is not by the drawing 
together of the walls of the urethra alone, however, 
that the urine is prevented from escaping, but partly 
by the presence of the Veru Montanum. By refer- 
ring to the plate of the situation of the male organs 
the position of this part will be readily understood. 
It is a email fleshy protuberance placed on the lower 
wall of the urethra, just where it opens from the 
bladder. In snape it is like a cone, with the smai? 



]72 DISEASES OF THE PENIS. 

end pointing towards the end of the Penis. Tha 
neck of the bladder closes around this little protu- 
berance while the urine is retained, but during eva- 
cuation it relaxes and opens a little and the fluid 
then passes on each side of the Montanum, which 
thus acts a similar part to the stopper of a bottle. 
Many cases of incontinence of urine arise from 
irritation of the Veru Montanum, which becomes 
so tender that the neck of the bladder is kept con- 
stantly open to prevent pressure upon it. This 
irritation may arise from various causes, but most 
usually we can only guess what they are. The 
mode of subduing it is simply to use general means 
for subduing inflammation, such as are suitable for 
all the neighboring parts. An irritating quality of 
the urine is very apt to give rise to it, particularly 
when very acid, and then it is readily corrected by- 
taking a little Carbonate of Soda every morning 
before breakfast, and drinking freely of gum arabic 
water. — I had one patient who suffered terribly from 
this cause, without knowing, till explained to him, 
what it was. Immediately the smallest portion of 
urine was secreted in the bladder it felt as if a 
piece of red hot iron was placed in the neck, and 
all command over it was instantly lost, the urine 
escaping in spite of all his efforts. The smarting, 
burning, and pricking sensation he described as most 
horribly torturing, without there being any appa- 
rent possibility of relief. He had been told by some 
practitioner that it was stone in the bladder, but I 
felt assured, after careful examination, that it was 
inflammation of the Veru Montanum, and advised 
him accordingly. I prescribed hot fomentations of 
Poppy Heads, on the pubes and perineum, wuh 
Leeches also on the Perineum, and inside th* 



DISEASES CF THE PENIS. Ifg 

Thighs. Internally I directed him to take the fol« 
loving powders with a dose of Castor Oil every 
evening, and to drink plentifully during tne da/ of 
Barley Water. 

H. Dried Leaves of Uva Ursi, or bear berry, one 
and a half drachms ; Bicarbonate of Soda, one 
drachm. 

To be mixed togetner well, and divided intc 
twelve powders, one of whicn to be taken three tunea 
a day, in the Baney-water. 

The eifect of this treatment was evident on ute 
second day, the inflammation having subsided con- 
siderably, and by tne third day he was quite well, 
with the exception of a little soreness when urinat- 
ing. 

Inflammation of the \ eru Montanum is also very 
apt to be produced by retaining the Urine too long, 
when the bladder is very lull, and particularly by 
trying to prevent the escape of semen, during 
coition, which is sometimes done by pressing; the 
Penis at its lower part. The effects of this practice, 
which is often resorted to under the idea of prevent- 
ing conception, are most serious ; in addition to the 
inflammation already referred to, it also leads to in- 
voluntary seminal losses, as will be explained 
further on. Such .destructive practices would never 
be attempted if men were not so thoroughly igno- 
rant of everything relating to their physical system, 
and while that ignorance remains it will always 
cause more disease than medical science will be 
Able to cure. 

The Veru Montanum is also ver\ apt to become 
diseased whenever the Prostate Gland is affected, 
the two parts sympathizing so intimately together. 

The semen enters the Urethra just at the lowei 



174 DISEASES OF THE PENIS. 

end of the Veru Montanum, by two small openings 
which are very liable to be more or less cLsed 
when this organ, or the Prostate is inflamed, ana/ 
thus tne flow of semen is partially and sometimes 
totally prevented. 

Sometimes the Montanum will swell till it conv 

letely fills up the neck of the bladder, so that 

fteithei urine nor semen can possibly escape till it 

has been reduced. It is also liable to be the seat of 

Cancer or Scrofula, like the Prostate. 

The Urethra is liable to Congenital Malformations 
as well as to subsequent accidents, and some of 
these may be of a serious character. In some 
young persons it is permanently contracted, so that 
the escape of urine is attended with great difficulty 
and pain. This fault, however, usually amends 
with the growth, and with constant use. Children 
so circumstanced are a very long time in discharg- 
ing their urine, which flows in a small stream, and 
with more or less distress. In very severe cases 
bougies may be used to dilate the passage, but it is 
better, if the trouble is not too great, to wait till 
towards puberty, and see if nature herself will not 
eifect an improvement. Still more rarely there are 
found Congenital Strictures, or they come spon- 
taneously, without any apparent cause. If these 
are not very bad it is perhaps, better to wait till 
fourteen or fifteen years of age, before operating, as 
he changes in the system at that time are very 

?;reat, and an improvement may occur naturally, 
f they are too severe, however, or endure beyond 
that time, it will be necessary to use the bougie, 
which is in reality trie only effective remedy in 
such cases. Many youths cause stricture b\ com. 
jessing the Penis in Masturbation, and bruising the 



DISEASES OF THE PENI3. 1 7o 

Urethra. I have known many do this to prevent 
ihe semen from escaping at the moment of ejacula- 
lion, from the notion that if this was done the prac- 
tice would not i?ijure them. It is of course unneces- 
•ary to show the fallacy of such a notion, but it 
may be advisable to explain what becomes of the 
seminal fluid in such cases, because very often not 
a particle is seen. At the moment of ejaculation 
the semen escapes by jets into the Urethra, from the 
ejaculatory canal, through certain small openings, 
called the ejaculatory ducts — which are shown in 
the plates — and then flows down the canal and 
escapes from the body. If, however, the Urethra is 
compressed, so as to prevent it from escaping exter- 
nally, it must flow in some other direction, and the 
only other way is into the bladder, which it enters 
by forcing open the neck and passing on #ach side 
of the Vera Mountanum. It is then expended as 
much as if it had left the body in the natural man- 
ner, as it comes away with the next flow of urine. 
In the mean time its presence irritates the bladder, 
and its passage in this reverse way is very apt to 
cause inflammation in the Veru Montanum and 
Prostate Gland, and even to produce stricture, as 
before explained, with a weakness of the ducts dis- 
posing to involuntary seminal losses. 

The Urethra is also unusually irritable in some 
persons, without any particular disease, and burns 
a?nd smarts when they urinate as if there were 
Gonorrhoea. Some men, arid even some children, 
have more or less of this troub e, either constantly 
or at times, and suffer from it considerably. It will 
generally be observed in such persons that the 
urine is high colored, and deposits a reddish or 
yellowish sediment,, on being allowed to stand, 



l16 DISEASES OF THE PENIS. 

indicating eifuer gravel or chronic inflammatioa 
of the bladder. The best treatment is that given 
for inflammation of the Veru Montanum, furthei 
back, and the best preventive is to pay strict atten- 
tion to the diet and drink. Nothing should be eaten 
or drunk that is heating or stimulating, or that ia 
likely to pioduce constipation, which always aggra- 
vates these troubles. Spirituous and fermented 
liquors are very bad, and coffee is usually injurious. 
The best drink is Soda-water, Barley-tea, Gum 
Arabic-water, and Mucilage of Sassafras pith, or 
Bene Plant. A little Carbonate of Soda taken 
every morning is a perfect preventive in some, and 
a little Magnesia in others. All excesses must be 
carefully avoided, and the bowels kept constantly 
free. A frequent warm-bath is nearly always bene- 
ficial. % 

Many of the diseases of the Prostate Gland, and 
many of the operations upon the Penis, are frequent 
causes of stricture and inflammation of the Urethra, 
and they therefore require, on that account, the 
utmost care and attention. It is not unfrequently 
the case, in unskilful hands, that after a perfect 
cure of one of these diseases, a stricture is left that 
is a worse evil than the original one. 

THE PROSTATE GLAND. 

The uses of this Organ, like those of the vesi 
cles, have not yet been satisfactorily determined. It 
was formerly thought to be a simple Gland, intended 
to secrete a peculiar Liquor which was necessary 
to mix with the semen. This view, however, has 
been lately somewhat modified, and it is now 
considered to be rather a collection of several glands 



BlSEXSiiS trf 1HK PENIS. 17*! 

or follicles, forming one mass or organ together. 
These utile follicles secrete a peculiar whitish fluid, 
vrhich is conveyed by a number of small ducts into 
the Urethia, close by the Vera Montanum where 
the semen enters. It is probable that this fluid is, 
in some way or other, essential to the perfection of 
the semen as it leaves the body. 

The Piostate Gland is liable to several forms of 
disease, some of which are both painful and dan- 
gerous, and all of which, unfortunately, are but 
little capable of treatment. It seems specially liable 
to engorgment, or swelling, and to scrofulous and 
cancerous indurations. Sometimes also it becomes 
cartilaginous, or even almost bonv, and at other 
times calculi or stones form in it, similar to those 
found in the bladder. — Inflammation and abscess of 
the Prostate Gland is very apt to fellow improper 
treatment for Gonorrhoea, particularly where bou- 
gies or injections have been used, and it is also s 
frequent consequence of cauterization for curing 
involuntary seminal losses. Blows on the Fen- 
neum may also give rise to it, or too severe and 
long-continued pressure, from horse-riding, or using 
a hard seat, or even from very light small clothes. 
This trouble is both an annoying and a serious one, 
and frequently excessively painful. When the 
Prostate is simply swollen it merely causes a sense 
of fulness and uneasiness in the Perineum, with 
difTiculty in urinating or discharging the semen ? 
arid in passing the bowels. The reason for these 
impediments will be evident when the situation and 
connections of the Organ are borne in mind. The 
smallest increase in the size of the Prostate makes 
it press on the Urethra and partly closes it, so that 
&e flow of urine is necessarily obstructed, and the 



1 78 ftfSEASES OF THE PENIS. 

orifices of the Seminal Tubes being also compressed, 
the flow of semen through them is similarly inter- 
cepted. In very severe cases a total stoppage of 
both urine and semen occurs, which if not relieved 
may lead lo inflammation of the Bladder and Tes 
tes of the most acute and dangerous character 
When this stage has been reached the pain and su& 
fering become most intense, and if the inflammation 
and swelling is not speedily reduced an Abscess 
forms which eventually breaks and discharges its 
contents, when some little relief is obtained, though 
the disease has then assumed a much more annoy- 
ing form, and is more difficult to treat. If the 
abscess breaks internally there is a continual flow 
of pus or matter from the Urethra, attended by se- 
vere smarting and pain when the unne or semen is 
passed, and by. a constant irritation in all the neigh- 
boring parts, which acts on the nervous system in 
the most distressing manner. Occasionally the ab- 
scess breaks externally in the Perineum, which is, 
if possible, still more troublesome. Thti pus keeps 
flowing in the same manner, only not from the Ure- 
thra, and the same constitutional irritation is expe- 
rienced, but the pain in urinating is not aiwavs so 
great. 

The treatment of this trouble must depend upon 
the stage at which it has arrived, and the causes 
that produced it. While there is simply slight 
swelling and inflammation from bruises or blows, 
every means must be taken to remove it as speedily 
as possible. The patient must keep perfectly still, 
lying on his back most of the time, while fomenta- 
tions of hot water, with laudanum, are freely applied 
to the Perineum, or flannels dioped in the hot fluid 
may be placed between the linat» and pressed up 



DISEASES OF THE FENIS. ] 79 

against fhe Perineum, changing them frequently, and 
using them as hot as they can be borne. The bowels 
must be freely moved with Castor Oil and the diet 
must be light and unstimnlating. A very good 
practice is for the patient to sit in not water, for half 
an hour at a time, or over the steam of it. — These 
means persevered in, when the uneasiness and diffi- 
culty is first felt, will often subdue the inflammation 
and prevent any further evil consequences. A ge- 
neral warm bath, during which hot Teas are taken, 
to promote perspiration and the flow of urine, are 
also of great service, and when the bruise is very 
bad, as shown by blackness 'of the skin, Leeches 
must bo? applied, either on the Perineum or inside 
of the thigns. 

If the inflammation be of a chronic form, not 
produced by any external violence, tne uest appli- 
cation is the Mercurial Ointment rubbed on the Peri- 
neum till it produces a decided effect on the system. 
Along with this may also be taken the solution of 
Iodide of Potassium, prescribed in Hydroce : e, the 
bowels being kept regularly open with Salts or 
Castor Oil. Cold Lotions must be frequently ap- 
plied of Alum or Sugar of Lead, and no spices or 
alcoholic liquors must be taken on any account. 
Sexual excesses are particularly hurtful in this 
complaint. 

Very many incipient attacks of inflammation of 
She Prostate might be cured in this way, and the 
swelling dispersed, if proper attention were paid to 
the diet and strict temperance practised in all 
things. 

Most frequently, however, this trouble continues, 
and either forms an abscess or an indolent Tumor, 
which every now anc then enlarges go much that 



180 BISEiSES OF T1I3 PENIS. 

the flow of semen and urine is entirely stopped, 
causing intense suffering, and a palliative operation 
has to be performed to give relief. Many patients 
suffer from regular periodical attacks of this kind, 
and in others they come on always after any little 
extra bodily exertion or mental anxiety. In these 
cases the use of purgatives internally, with cold 
lotions and Belladonna or Hellebore Plasters exter- 
naiiy, will frequently mitigate the severity of the 
pain and cut short the attack. A grain of Opium 
may also be taken, when the suffering is most in- 
tense, or thirty drops of Laudanum, in some Gum 
Arabic- water. The" Ointment of Belladonna and 
Camphor, prescribed in inflammation of the Tes- 
ticle, will also frequently be found of great benefit, 
and manv experience decided relief from leeches to 
the Perineum and thighs. The nature of the 
operation to be performed, in any extreme case, de- 
pends upon the peculiar circumstances attending it, 
and must be left to the judgment of the physician. 
The internal application of caustic is practised by 
some, and others use the lancet freely, but there in 
both risk and difficulty in both At the very com- 
mencement of the difficulty it $s sometimes possible 
to introduce a catheter without much trouble, and 
this may serve to keep the Urethra opexi while the 
other means are employed to reduce, the inflamma- 
tion. The catheter, however, is not admissable 
when much force is needed to introduce it, nor 
when it increases the inflammation. One of the 
most reliable proofs of swelling of the Prostate 
Gland, when the Tumor cannot be felt externally or 
in the rectum, is the impossibilty of passing a 
catheter, owing to the enlarged Prostate having 
blocked up tbt Urethra. 



DISEASES OF THE PENIS. 1 g [ 

Inflammation of the I'rostate Gland may termi. 
lie in induration or permanent hardness, and also 
in mortification, as well as in abscess or dispersion. 
Wi.en mortification ensues it is of course exceed, 
ingly dangerous, if not necessarily fatal, and we 
nave no known remedy to cure it. The induration 
will sometimes exhibit a decided Scrofulous ten- 
dency, and pursue the same course as Scrofulous 
Testicle, and at other times it will become perfectly 
cartilaginous or bony. 

Wnen calculi or stones form in the Prostate it is 
sometimes possible to cut them out, when their pre- 
sence is so evident that there can be no mistake, but 
this is very seldom the case. Like most other dis- 
eases of the Prostate the indications of this are so 
obscure that its precise s^at and nature in most 
cases can only be obscurely guessed at. 

Sometimes the stones will be discharged, by way 
of the Urethra, and relief immediately follow. 
Warm bathing and fomentations probably tend ta 
facilitate this mode of escape, by releasing the 
parts. I have known persons who had long suffered 
from all the usual symptoms of enlarged Prostate be 
perfectly relieved after voiding a few calculi, sel- 
dom larger than a pea. 

Amoiiv* other means of obtaining relief ocea* 
fionally successful, in Prostatic enlargement,, I may 
mention injecjtions in the Rectum of cold thin starch 
and laudanum, frequently repeated. Galvanism I 
have also tried, and in some cases with marked 
success. 

Chronic enlaige^^.t of the Prostate Gland is 
rather common amongst old men, pa^'icularly those 
who have led a sedentary life or been addicted to 
sexual excesses. 



!** 



CHAPTER VI 

FUNCTIONAL AND SYMPATHETIC DISEASES Of 
THE GENITAL ORGANS. 

This is a part of our subject of the very first im- 
portance, and yet beset with such numerous ana 
peculiar difficulties that precise knowledge about it 
is extremely difficult to obtain. In regard to many 
things of the greatest moment, connected with 
man's virile powers, but little or nothing is known, 
even by medical men, who are, generally speaking, 
taught nothing about them in their early studies, and 
have but few opportunities of learning afterwards. 
Dr. Curling remarks, when speaking of the Testes, 
" Their functions are so involved in those of othei 
parts, are influenced by such peculiar causes, and 
are so dependent on nd modified by particular 
events and circumstances, that the investigation of 
them, when disordered, necessarily becomes of a 
complex and difficult character. The product too, 
of these glands, is one, the qualities of which it is 
almost impossible to appreciate, and which during 
life is never afforded in a pure and unmixed state ; 
and further, taking into account the repugnance felt 
to such inquiries, it is scarcely surprising that the 
subject has been but imperfectly investigated, and 
rarely treated of by the pathologist and practitioner^ 
Indeed the little information we possess respecting 
it is chiefly to be found under the head Impotencv. 
in works on medical jurisprudence, in which it is 
cursorily considered, principally in i elation to points 
17* 



SYMPATHETIC DISEASES. 188 

iyf medico-legal interest, and scarcely at all in re- 
feience 10 practice." 
• This is strictly true, and it will. I dare say, sur- 
prise many persons to learn that physicians, gene- 
rally speaking, know little or nothing about such 
matters. Such, however, is the case, as is well 
known to those who have occasion to apply to them, 
either for advice or information. I have found it 
absolutely necessary to set out in my investigations, 
on many important points, as if nothing were 
known, and hunt out the requisite information by 
the tedious but sure process of actual experiment 
and- extended observation. Very many of the 
statements made in this work will probably surprise 
those who see them for the first time, owing to their 
noveky, and to their variance with old notions. 
None of these statements have been made, however, 
without good and sufficient evidence having been 
obtained of their correctness, while the old notions 
with which they conflict are merely suppositions 
and assumptions utterly destitute of any foundation 
whatever. This is especially the case in regard to 
the functional and sympathetic causes of Impotence, 
and also its medical and moral treatment, which 
may be truly said to be, nearly invariably, of the 
most quackish character, even when practised by fhe 
most eminent medical men. The notions of non- 
professional persons, respecting such things^ are 
frequently as correct as those of their medical advi- 
aers, and their own empirical treatment is often the 
most successful. It is but very recently that the 
true action of many powerful medical agents on the 
Generative Organs has been ascertained, and 1 as- 
sert, without hesitation, that very many practitioners, 
some ^ven of considerable celebrity, are as truly 



£34 SYMPATHETIC DISEASES. 

ignorant in regard to it as the patients tney under- 
taKe to treat. 

in pursuing my own investigations into these im-« 
portant and interesting subjects, I have left no 
means of acquiring information untouched. Besides 
studying and experimenting, as far as was proper, 
in thousands of cases that came under my notice 
professionally, I have fully experimented upon 
hundreds of animals, to the utmost extent that 
humanity would allow. By these means } have 
ascertained many important facts, and studied the 
action of many powerful medical agents which 
could not with propriety and safety have been tried 
upon human beings first. 

Functional or sympathetic disability of the Re- 
productive Organs appears in two forms, hnpotence 
and Sterility, which are frequently, but erroneously, 
confounded together. Sterility means a total 
absence of the Reproductive principle, and mus? 
always be accompanied by impotence or inability 
to associate with the other sex, except temporarily 
in certain peculiar cases ; but a man may be 
impotent without being sterile. Absolute sterility 
is generally incurable, because it arises from de 
struction or disorganization of the Testes, and it is 
therefore only in the way of preventing the evil, by 
removing its causes, that we can do any good, but 
impotence can very frequently be cured, as well aa 
prevented. Besides impotence is the more frequem 
affection, and is often merely the forerunner or firs! 
6tage of sterility, and it becomes therefore the mos* 
important subject to consider. 

The various kinds of deformity, deficiency, and 
acute disease that cause destruction of ihe genera. 
tive power have already been fully treaunl upon 



SYMPATHETIC DISEASES. ] 8f> 

and we have now only to explain those mysten« 
ous sympathetic and functional agencies, which, 
though they are often more powerful, are yet so dif- 
ferent in their operation, and hitherto so little 
studied, that but little is generally known respect- 
ing either their nature or mode of action. This* 
will be fully apparent in our very next article. 

INFLUENCE OF THE BRAIN ON THE GENERATIVE 
POWERS. ' 

In a former part of this work a number of in 
stances were narrated in which impotency followed 
injuries of the head, and we will now narrate a few 
others, because this is a most important fact, in 
many respects. 

About five years ago [ was consulted by a mar- 
ried man who had totally lost his sexual powers 
from striking his head against a beam. The blow 
had stunned him for a time, but did not lead to any 
serious symptoms afterwards. He found, however, 
in two or three days after that he was perfectly im- 
potent, and had so remained for eighteen months 
svhen 1 saw him. There was but little loss of de- 
sire, with no wasting of the Genital Organs, nor 
any other indication whatever of his deprivation. 
He had previously been a man of temperate habits, 
and at the time of the accident was as vigorous as 
most men. The blow, it may be as well to remark, 
*vas received on tne top of the head, and was not fol 
lowed hy any swelling or pain in the Cerebellum or 
ueck. When I saw him he was m perfect health, 
and in good spirits, in fact nothing was complained 
v4 but this unfortunate impotency, which he was 
they desirous of having removea. 



186 SYMPATHETIC DISEASES. 

The great point was to ascertain, if possible, in 
what way the concussion of the brain had suspended 
the transmission of nervous power to the genitals, 
and how it could be restored. I recollected that ia 
several cases where injuries to the head had para, 
lyzed particular muscles, or limbs, their power had 
been restored by Galvanism, applied so as to pas? 
along the course of their Nerves from the spine. 
It seemed to me as if the blow had impaired the 
proper connexion between the spinal marrow and 
these nerves, at their roots, and that the passage of 
the electric current in some way or other restored 
that connection. It was similar in fact to starting 
the Electric Telegraph again by mending the wires, 
or making the connections perfect, after they had 
been destroyed by violence. I therefore applied 
the Galvanism, passing the current from that part 
of the spine where the Spermatic Nerves originate 
to the pubes, perineum, and neighboring parts, ap- 
plying also a stimulating liniment, and occasionally 
using the congester. The result was highly satis- 
factory, and speedily obtained. At the third appli- 
cation he experienced a decided tingling about the 
perineum, and along the penis, and the next time a 
partial erection occurred. After persevering for 
five weeks, using the Galvanism daily at first, and 
then every other day, and finally but twice a week, 
he was fully restored, without any apparent tendency 
to a relapse. In this case it will be observed that 
the injury was not received at the lack of the head, 
on what the Phrenologists call the Organ of Ama- 
tiveness, but at the top, nor did it in any way what- 
ever affect the cerebellum. 

In another similar instance Impotency, with com- 
plete loss of desire a so, followed a fracture of th« 



SYMPATHETIC DISEASES 187 

gkull over the left Temple and no me^ns that wew 
used had the slightest effect in restoring it. In a 
few montns the Testes began to waste, and even- 
tually almost totally disappeared, but the general 
health was only slightly affected. 

In the American Journal of the Medical Sciences, 
for February, 1839, Dr. Fisher relates a curious 
instance of a gentleman injured in a railway car. 
He was looking out at the moment when a colli- 
sion occurred, and the shock threw the back of his 
head against the edge of the window with such 
force as to stun him ; he however recovered his 
senses and was taken home, but suffered great pain 
in the back part of the head and top of the neck. 
His right arm was numbed a little and some diffi- 
culty was experienced in passing the urine, but in 
two weeks he was able to walk out with no other 
inconvenience than a slight dimness of sight. About 
the fifth week he discovered that he was impotent, 
and had lost all sexual desire. The means used to 
restore his genital powers were only partially suc- 
cessful, nor was his memory so perfect as before, 
but all the other difficulties disappeared under pro- 
per treatment. 

In the Lancet for August, 1841, is an account of 
a medical student who received a blow on the face, 
in a quarrel, which knocked him down so that he 
fell on the back of his head. He was totally un- 
conscious for eight or ten hours, but gradually re- 
covered, and on the following day even resumed his 
studies which he continued unremittingly for the 
next six weeks. He, however, became exceedingly 
irritable, with a feeling of general uneasiness, and 
after the first week he observed the genital organs 
begin co waste, and desire to weaken, till he finally 



188 SYMPATHETIC DISEASES. 

became nearly impotent, but afterwards recover**! 
under proper treatment. 

Many instances have been observed of soldiers 
being wounded in the head and suffering afterwards 
under the same disability, some of which were given 
in a former article. It is perhaps proper to remark, 
however, that this is not the only nor even the most 
frequent result of .such injuries, as many patients 
bo hurt suffer no deprivation of their genital powers 
but have some other function impaired. Thus some 
lose their sight, some their hearing, and others be- 
come paralytic in their limbs. 

The prospect of recovering the sexual powers 
w-hen lost from injuries of this kind is very small, 
especially if the parts have really begun to waste. 
The treatment at first must be that best calculated 
to subdue the irritation which is probably exist. 
ing in some part of the nervous system, and after- 
wards, if requisite, to rouse the spermatic nerves to 
more energetic action. Every case, however, will 
require something peculiar to itself, which can only 
be discovered by a patient and careful attention to 
*ll its symptoms and indications. 

A further corroboration of the facts above sta;^d 
may also be found in certain physiological induc- 
tions observed in those who have died from strangu- 
lation. It is well known that in very many men 
who have been hung, erections and even seminal 
emissions have occurred, and experiments upon 
animals have often led to the same result. This is 
attributed to the pressure of the rope on the back 
of the head, which in some way or other excites 
the spermatic nerves. I have even known pressure 
made on that region purposely, in a particular man- 
ner, in order to excite erections, and frequently vdti 



SYMPATHETIC DISEASES. \%$ 

perfect success. Some of the females in ilie Turk. 
ish Harem? understand this, and they habitually 
chafe, or shampoo, the back of the neck of their 
companions of the other sex, for this very purpose. 
I have frequently made an application of this im- 
portant fact in my practice, in cases wh^re there 
pras merely a suspension of that sympathetic influ- 
ence which the brain ordinarily exerts upon the 
jexual organs. 

The particular mode of doing this, though well 
understood to eminent medical men in the old world, 
is I believe totally unknown here. An explanation 
of the process, and the apparatus employed, would 
require to be extended beyond the limits of the pre- 
sent work, to make it practically understood, and as 
after all it would not be available for the patient's 
own use it is net necessary to enter into it. I have 
often astonished persons both by its singularity and 
its unexpected effects. 

A full consideration of all the facts and argu- 
ments bearing upon this influence of the -brain over 
the sexual functions, have left the subject, so far aa 
[ am concerned, in great obscurity. That a singu- 
lar influence is often exerted by the brain in this 
way, sometimes benefically, and at others the re- 
verse, is undoubted, but whether such influence 
emanates from a particular part of the brain, or 
from the whole organ is uncertain. The Phrenoio- 
psts affirm that only a particular part of the 
Encephalon is concerned in this phenomenon, name- 
ly, the lower part or Cerebellum, which rests upon 
the spkial marrow. 

But after a careful consideration of all the reasons 
brought forward in support of this affirmation I am 
oot yet convinced of its correctness. That many 



190 SYMPATHETIC DISEASED. 

facts favor such a theory I am willing to admit, twt 
it is also certain that many others militate agains/ 
it, and as a searcher after truth I must consider 
everything that bears upon the question, even though 
opposed to my previous opinion. I set out with 
firmly believing that the Cerebellum was the organ 
of the sexual propensiy, and my investigations have 
made me doubt it. It is not true, I am convinced, 
that the strength of a man's sexual propensity can 
be estimated by the development of his Cerebellum, 
nor is it true in regard to animals either. If it 
were so we ought to find that organ largest in those 
who exhibit the propensity most, and in numerous 
cases it is not so, though in others it is. A celebra- 
ted German physiologist made some investigations 
bearing on this point of a very interesting charac- 
ter ; he had numerous opportunities of dissecting 
horses, and curiosity induced him to weigh the 
Cerebellums of these animals, some of whom had 
been castrated when young and others left entire. 
Now if the Cerebellum be truly the organ of 
Amativeness it ought of course to be largest in the 
entire horses, who have always exhibited that pro- 
pensity, and we should expect to find it almost dis 
appeared in the others, seeing that they could never 
have felt anything of the kind. The result of the 
experiment was, however, on taking the average of 
an equal number of each, that there was scarcely 
any difference, or if any at all the castrated ones 
had the largest Cerebellums. In observing idiots 
also, some of whom were notoriously licentious, 
and others directly the reverse, I have not found 
that the development of the Cerebellum corres- 
ponded to the phrenological system. Neither can it 
Se contended that the size of the Cerebellum* iu the 
*8 



SYMPATHETIC DISEASES. ]C\\ 

cast/ated animals was only the result of disease, fci 
no difference could be detected in it between them 
and the others. All that can be said therefore is 
lhat certain agencies acting on the Cerebellum 
Mometimes cause sexual manifestations, and at other 
check them. The same agencies also acting on 
other parts of the brain will sometimes produce the 
game results, and sometimes when the Cerebellum 
is acted upon it is not the Generative Organs that 
are affected, but the sight, hearing, or speech, which 
might therefore just as properly be considered under 
its exclusive influence. 

It should also be stated, as bearing on this sub- 
ject, that certain influences operating on various 
parts of the body will often affect the Generative Or- 
gans in a decided manner. I have known a blister on 
the leg cause the most uncontrollable sexual desires 
in one man, and the application of caustic to the 
throat do the same in another. In applying blisters 
to the top of the neck also, though it is followed by 
erections in some, yet in others no such effect takee 
place, and occasionally it will produce a nervous 
twitching, like St. Vitus' Dance, in the arms. 
Flogging the back, it is well known, will frequently 
?ause erections and emissions, even when very 
severe, as has often been observed in soldiers when 
undergoing that brutal punishment. Rousseau also 
tells us, in his confessions, that flogging boys at 
school, in the disgraceful manner formerly prac- 
tised, is sometimes followed by similar results, and 
he remarks that the pain of the punishment may be 
forgotten under the powerful excitement it leads to, 
a fact of deep moral importance. In short there 
seems every reason tc believe that the strength of 
Ihe sexual propensity is dependent upon some pecu* 



192 SYMPATHETIC DISEASES. 

larity of the sexual organs themselves, though it 
may be often modified by various mysterious sym- 
pathies emanating from other parts. If the semen 
be never formed, there will never be any sexual de- 
sire, and if that fluid be abundant the propensity to 
discharge it will be proportionally gieat, indepen- 
dent of all other influences. In those who feel de- 
sire without having anv semen, as is sometimes the 
case in impotency, or even after castration, it is 
oriiy the remembrance of a lost pleasure. 

In treating disabilities of the Generate Organs, 
however, the possible influence of injuries to the 
head, even at former periods, and long ago, shovild 
always be borne in mind. 

INFLUENCE OF THE MIND OVER THE GENERATIVE 
ORGANS. 

It is a fact not generally known that the mind 
can exert an influence over the Generative Organ* 
of a most decided character. Not only can desire 
be engendered or annihilated by mental impressions, 
in despite of all other conditions, bui the actual 
growth, or development of the organs themselves 
can be retarded or accelerated by the same means. 
I have known men who never felt sexual desire, 
and whose organs were very imperfectly developed, 
until a late period of life, and then quite suddenly 
the long -suppressed feelings were experienced, and 
the parts began to grow, simply from the stimulus 
ol seeing some person of the opposite sex who was 
adapted to make the proper impression upon their 
minds. Such instances are, indeed, by no me&hs 
rare, as every person of experience must know, and 
ihey piove that, in many cases at least, a certain 



SYMPATHETIC DISEASES 193 

impression must be made upon the mind oofore the 
mere animal feeling can be experienced, or the 
pnysicai development take place : or, in other 
words, they prove chat with some persons there are 
only certain individuals of the opposite sex who can 
call forth those fec'ings in them, and that if they 
never meet with these individuals it is probable that 
such feelings will never be experienced, or at least 
only to a slight extent. 

A knowledge of this fact will often explain to us 
many of those distressing cases of indifference and 
dislike to be met with between parties, and will also 
be a valuable guide in giving advice, particularly 
in those instances where there is only apparent impo- 
tence without any real deficiency.. 

There seems to be good reason to suppose that 
the sexual instinct is materially dependent upon a 
particular part of the brain, though we cannot tell 
what part it is> nor whether it is a mere develop- 
ment of it that is needed or some peculiarity of 
structure or organization. It is .not at all uncom 
mnn to find men perfectly organized, m every re- 
sf.ect, with vigorous minds, and with every other 
faculty in full play, but yet almost wholly destitute 
cf desire for sexual enjoyment. In some of these 
cases it is true the Generative Organs are small, or 
evidently inactive, but in others they are of full 
average development, healthy, and active. In such 
uaaes we can only account for the singi lar indiffe- 
rence exhibited by supposing that the part of the 
Brain which regulates the reproductive instinct has 
dol had sufficient power, or else that the proper 
object has not yet been presented to the senses, as 
before explained. 

Besides this particular influence the Generative 



g*)\ SYMPATHETIC D SEASE5. 

Organs can also be much affected by the general 
action of the Brain and nervous system, the same 
as all the other organs. Thus if a man exhaust 
most of his nervous energy in thinking or in mus- 
cular energy, the other functions, including the ge- 
nerative, must be proportionally weakened. I have 
met with many instances of this among men of bu- 
siness, many of whom would become quite impotent 
when more than usually absorbed in their pursuits, 
and regain their powers in a short time after their 
care and anxiety were lessened. The following c&be 
of this kind I select from my note-book as bei^g 
more than usually instructive. The patient, a 
young man of twenty-eight, had been married three 
years, and had o»e child ; he was very fond of his 
wife, and she in return reciprocated his affection. 
He had never been addicted to excesses or abuses 
of any kind, and until about six months before I saw 
him was in the full enjoyment of his generative 
powers. About that time, however, he experienced 
a sudden -and severe loss in his business, which had 
previously been very prosperous, and the care, anx- 
iety and incessant exertion he underwent, in endea- 
voring to extricate himself from his embarrassments, 
brought on various physical and mental troubles 
that he had never before experienced. Among the 
rest he found himself perfectly impotent, having 
completely lost both pov/er and will. This dis- 
tressed him very much, both for the loss itself ano 
also from apprehension that it was the beginning of 
general decay. In this dilemma he came to consul) 
me, and was exceedingly anxious to know my opi- 
nion as to the prospect of his ultimate recovery. 
After a careful examination I felt convinced that 
there was ao actual loss of power, but merely a 
18* 



SYMPATHETIC DISEASES. 195 

temporary absence of the requisite nervous stimu« 
lus. owing to the excessive mental labor and anxiety 
he h.ad undergone ; I therefore inquired as to his 
future prospects, and was gratified to learn that he 
was now quite relieved of his difficulties and was 
beginning to regain his usual health and spirits 
On learning this I unhesitatingly assured him tha 
in a short time his generative powers would return, 
and more especially if he could abandon all care 
and thought about them. I gave him a slight sti- 
mulus, and some general directions as to diet, exter- 
nal treatment and exercise, and arranged to see 
him twice a week. In one month afterwards he was 
as well as ever, though he had been for nearly seven 
months as impotent as if the organs had been totally 
destroyed. — I have also frequently had business- 
men remark to me that they were liable to expe- 
rience more or less deprivation of sexual power, 
and to feel much less desire, at those periods of the 
year when trade was most active, and their minds 
in consequence more absorbed. An author also 
told me that when writing any very particular part 
of a book, or when anxiously expecting the criti- 
cisms of the press after its issue, he was always for 
a time perfectly impotent. In the lives of several 
severe students we have further corroboration of 
this fact, many of them having been remarkable for 
their coldness and incapacity, particularly those en- 
gaged in absorbing abstract studies, like the Mathe- 
inatics. Sir Isaac Newton is said to have never 
known sexual ardor, though in every respect a per- 
fectly-formed man, and it is probable that this was 
in a great measure, if not entirely, owing to his in- 
cessant and all-absorbing studies. In short there is 
ao question but that intense mental occupation less* 



lytf SYMPATHETIC DISEASES. 

ens sexuai ardor in most persons, and that it may 
sometimes even extinguish it altogether. This is a 
fact of considerable importance, both medical, and 
moral, and one that should be more fully considered 
than it has lithe rto been. There is no doubt but 
that a great part of the licentiousness which exists, 
particularly in youth, is in a great measure brought 
about, or at least made much worse, by mental and 
bodily idleness. If the mind is not occupied by 
some proper and congenial study, that will pleas- 
ingly engage it at every leisure moment, a habit 
will soon be formed of indulging lascivious thoughts 
during such vacant periods, and if at the same time 
a due proportion of the vital energy is not absorbed 
in physical exertion, the sexual organs will soon 
become so constantly and intensely excited that such 
thoughts will become paramount over all others. I 
once pointed out the philosophy of this to a gentle- 
man who came to consult me both for himself and 
for his son, aged seventeen. The father was nearly 
impotent from intense occupation in business, and 
the son was nearly dead from constant licentious- 
ness and intemperance. I found on inquiry that 
the young man had been brought up as a gentleman^ 
and was not even expected to employ himself with 
anything useful, in consequence of which, from 
mere idleness, he resorted to licentiousness and 
drinking as a regular occupation, till he waa 
scarcely capable of anything else. Moral suasion 
was utterly useless to effect a change, and habit 
was too strong for the fear of consequences to break 
through, so that it seemed as if nothing could be 
done but abandon, him to his fate. His father bit- 
terly deplored the condition of his son, and earnestly 
emreate 1 me to give him any information 1 thought 



SYMPATHETIC DISEASES. | '/7 

(ikely to be of service in preventing simi.ai misfor. 
tunes to his younger brother. 

On explaining to him how the sexual pouer and 
propensity is influenced by a proper exercise of ti?« 
rest of the system, the philosophy of his own and 
his son's condition was immediately apparent. 
" Yes," exclaimed he, " I have exhausted myself 
by over-exertion, and at. the same time, I have left 
wy son a prey to his licentious desires merely from 
idleness. I now see plainly enough that had pan 
of my Durden been laid on his shoulders it might 
have saved both, but from mistaken kindness, and 
false pride, I condemned him to a life of inactivity. 
and consequent depravity, and myself to a drudgery 
that has left me a mere ruin of what I was." Now 
this is a case instructive to all, and there are many 
others in society precisely similar. 

Certain feelings are also very influential over the 
generative functions, but only temporarily, or with 
particular persons. Thus some men have found 
themselves suddenly impotent, with certain females, 
merelv from disgust at something that was un- 
expectedly displeasing in them, and others have 
experienced the same difficulty from the fear of 
discovery or infection. Some men will experience 
a intal loss of power on finding their companions too 
coin, or too ardent, or meeting with some unusual 
difficulty, but perhaps the most frequent cause is 
Timidity, or self-distrust. I have known several 
men. every way competent, who were so possessed 
with this idea of their own incapacity that they in- 
variably became impotent whenever they attempted 
\n approach to the other sex. This timidiu is 
somei ;mes exhibited in the most striking manner, 
the patient bp'mg intensely agitated, and so nervous 



MM SYMPATHETIC DISEASES, 

that his whale frame trembles, and his bodily 
powers sink so much that often fainting ensues. 
This peculiarity appears to be constitutional, and is 
often seen in those who are by no means nervous, ia 
the ordinary acceptation of the term, and who are 
col ected enough in regard to other matters, The 
only remedy for such an infirmity is constant asso- 
ciation with one object, in marriage, by which means 
a proper familiarity is induced, and in time the in- 
dividual loses his distrust and becomes convinced 
of his perfect capability. In most of these cases 
there is a real excess of power, rather than a defi- 
ciency, and the very intensity of the feeling tends 
to prevent its gratification, by completely absorbing 
ail the vital energies. I have frequently been con- 
sulted by persons so circumstanced as to the pro- 
priety of marriage, they fearing that the failing 
could not be recovered from, and it has been with 
the greatest difficulty that I could persuade them to 
the contrary. In every instance,' however, I have 
found marriage to effect a cure, though it might not 
be immediate. Some have worn off their distrust 
very soon, others have experienced it for months, 
but eventually have been surprised that they ever 
did so at all. It is the fear of failure that causes it 
with these people, and when that fear is once found 
to be groundless the cure is complete. In some few 
of these cases a little medical assistance is availa- 
ble, but it is of a nature not necessary to point out 
here. I once saw a man who had been married for- 
three years without being able to associate with hii 
partner, and solely from this cause. In all proba- 
bility he never would have done so, had it not b^en 
for A he advice he received, and yet there was no 
real dehciency of any kind The celebrated John 



SYMPATHETIC DISEASES. ] ■ A 

Hunter gives us a similar instance, which he met 
witl in his practice. The patient was perfectly in- 
competent, solely from the fear of failure, which so 
operated upon him as to always •make him fail. 
Mr. Hunter was persuaded there was no other dif- 
ficulty, and that it was merek 7 necessary to break 
this spell, he therefore required of him, as one es- 
sential requisite of the treatment, that he should 
remain with his companion, but on no account 
whatever make an$ r attempt for six nights, let his 
desire be ever so strong. The result was that be- 
fore the period fixed had gone by his desires were 
so strong he found it difficult to obey the injunction, 
and feared he should have too much power instead 
of too little. In fact the cure was complete, with, 
out any further treatment. The only thing re- 
quired in such cases is a judicious and honest phy- 
sician, who will first ascertain that there is no rea 
deficiency, and then explain to the patient the real 
nature of his case and the means b}- which v may 
be relieved. If this be done in a proper ano sym- 
pathizing "manner a cure may always be effected, 
but by a wrong course of procedure the evil niaj 
be confirmed. 

A too great intensity of the sexual feeling itself 
will sometimes cause impcteney, by overpowering 
the patient before die act can be properly consumma- 
ted. I have known instances of men who always be. 
came so intensely excited that they fell into a kind 
of dreamy stupor, and had involuntary emissions 
while in that state. This, however can alway be' 
remedied by proper treatment 

Several instances nave eome 10 my knowledge of 
men being impotent, at their marriage, from then 
fast discovering some disagreeable fact respecting 



; n SYMPATHETIC DISEASES. 

their partners. In one instance the lady had a 
small abscess on the arm, which she had hitherto 
concealed, and doubtless thought it a matter of little 
or no consequence as her health was good, and her 
appearance remarkable pleasing. Her partner, 
however, thought different, and such was the effect 
upon his mind that he could never afterwards expe- 
rience the slightest desire towards her. In some 
cases such simple discoveries as false hair, or false 
teeth, have had a similar effect. It is not so much 
t u at the circumstance is excessively disagreeable in 
itself as that it is unexpected, and its discovery de- 
stroys the dream of comparative perfection hitherto 
indulged. With uncultivated and Unimaginative peo- 
ple such causes might operate but slightly, or not at 
all, because they form no such ideal image, but 
with men of refinement it is different. There is no 
doubt but that a .good deal of the dissatisfaction, 
and loss of power, which many men experience 
after marriage is owing to this circumstance. They 
are ignorant of the real physical txnd moral nature 
of the being they take to their bosoms, ' and have 
formed a picture of her in the imagination very 
different from the /e&Iity, so that whan the truth is 
known their feelings undergo a complete revulsion. 
This ignorance sometimes extends to the mos? 
ordinary functional phenomena of the female sys- 
tem, d.r.'.d ihb nrst knowledge even' of that has, to my 
own knowledge, produced a very di&agreeahle and 
lasting effect. In short it is in this a3 m every tiling 
•els^, ignorance c.nd concealment produce evils that 
only knowledge and mutual confidence can prevent 

For full information see "The Marriage Guide." 



SYMPATHETIC DISEASES. 201 



EXCESSIVE SENSIBILITY OF THE GENITAL OtJG/i.NS 

Sometimes the sensibility of the Genitals is so 
much exalted, either naturally or acci.rienr.aliy, that 
emission occurs upon the slightest excitement, and 
the individual is thus made impotent from inability 
to perfect the connexion. This condition is in rea- 
lity a diseased one, and ought so to be considered, 
bs much as any other we have described. 

The seat of this extra sensibility is sometimes in 
the Testes or Vas Deferens, or in the ejaeuiatory 
Ducts, but most frequently in the Glaus Penis. 
When it is very great the organs are thrown into a 
violent orgasm almost at a touch, and emission oc- 
curs at the very first attempt. I have known men 
married for years who never had perfect association 
with their partners during the whole time, and 
simply from this cause. They were in nc respect 
whatever deficient, nor even subject to nervous ex- 
citement, but were unfortunately affected by this 
excessive sensibility. Other men I have knr vvn 
who dare not marry at ail from this cause, feeling 
sure .that if they did the marriage could never be 
consummated. 

The causes- of this trouble appear to lie in the 
peculiar structure of the Glans, the skin of which 
is unusually delicate, while its nerves are ramified 
into mousands of minute twigs, which are distributed 
to every point of the surface. The exquiske sensi- 
bility thus produced is so great in some that the 
mere touch of the clothes is sufficient to excite, ano 
the patient is thus kept in a constant state of irrita- 
tion. Sometimes a similar state is induced by dis- 
ease, particularly by inflammation, the Penis being 



»jl)2 *?A«l'tTHECIC DISEASES. 

then as tender as the surface of an abscess just he- 
fore it breaks, and feeling the slightest pressurfe o 
fric:ion. 

When this excessive sensibility is produced b} 
any disease it will of course disappear when the 
disease is cured, but when it is natural the removal 
or modification of it becomes much more difficult, 
though great relief can nearly always be obtained. 
The first requisite ts to remove all extraneous 
sources of irritation, and to attend to the diet, cloth- 
ing, and general regimen, then the great point is 
to harden the skin of the Glans, so that the nerves 
may be more thickly covered, and their sensibility 
reduced. This must be effected by the constant 
use of a^trin^ent washes, or caustics, and in certain 
csases by the use of Galvanism. Every one is fa- 
miliar with the effect of certain substances on trib 
hands for instance, in making them hard and de- 
stroying the delicacy of their touch, and it will be 
readily seen that the same means will deaden the 
sensibility of other uarts. Lime-water is very goot 
in some cases, and water saturated with iron-rust in 
others, but the best agents are the astringents, such 
as alum-water, solutions of tannin or white, oak 
hark, or gum kino o r c^iechu. These must be 
used every day, as washes, and the Glans kepi 
covered with cotton soaked in them. They will 
always do good, and frequent 1 y effect a perfect 
cure, but when they are not sufficient caustics 
must be employed, and this mus f be done by a phv- 
. sician. — When the premature discharpe takes place 
from irritability of the Urethra or ejaculatory ducts, 
a soothing external treatment must be adopted, con- 
sisting of washes and baths, combined with the uss 
of particular medicines internally, the kind of 
19 



SYMPATHETIC DISEASES. 203 

wnich must be determined by the peculiarity *uid 
seat of the irritability. — I have had some of the 
most distressing cases of ihis extreme sensibility 
brought under my notice, but I have not had one 
that was not relieved, except when it arose from 
Some incurable disease. — The connexion between 
this complaint and certain morwl infirmities will be 
obvious, and it will be readily admitted that its pro- 
per treatment may frequently be a matter of great 
consequence. — Children sometimes exhibit this trou- 
blesome sensibility of the parts, and it leads in them 
to constant manipulation, and eventually masturba- 
tion, if not corrected. How important that parents 
should know this, and how necessary that they 
•hould see the uselessne&s of mere moral preaching 

ID 92Ch GU&*, 

If all young men read, in time, a work like this, 
the sexual vices and diseases so common with them 
would be materially lessened. And if all young 
couples before marriage read the Marriage Guide , 
many of the causes of matrimonial unhappiness 
would cease to exist. 



CHAPTER VI!. 

SPERMATORRHOEA, OR EXCESSIVE LOSS OF 
SEMEN. 

This is a subject of more importance, as regaida 
human health and happiness, than perhaps any othe? 
that can be mentioned, and yet it is one about which 
scarcely anything is known, except by a few indi- 
viduals. I do not hesitate to say that more evil 
effects, ten times over, are produced by this almost 
unsuspected cause, than by all the diseases already 
enumerated, and perhaps even then by nearly all 
other diseases put together. And not only is it de- 
structive to the body, by preventing its proper deve- 
lopment in youth, making it a mass of disease in 
mature life, and causing its premature decay and 
death, but it is equally baneful to the mind. By 
its influence the vivacity and energy of youth is 
changed to a listless indifference, the vigor of man- 
hood is destroyed, and the calm peaceful content of 
mature life is turned into despondency and gloom. 
Many a young man, with mental powers capable of 
making him both eminent and happy,- and with 
every requisite of bodily health and strength, has 
terminated a short-lived miserable existence by sui- 
cide, or dragged out his life in a state of idiotic 
imbecility through this unsuspected disease. 

The excessive loss may either be the result of 
licentious indulgence or it may occur without the 
individual's cognizance, the elfects being much 
the same in either case, though apt to be ascribeJ 



EXCESSIVE SEMINAL LOSSES 90?) 

to other causes in the latter case, and also to be 

often underrated. 

The fact that the sem^n does frequently eseapt> 

in an involuntary manner is generally known, there 

being but few men who have not so suffered more 
© 

or less, and it is also well known that such involun- 
tary losses are very injurious to health, but the rea' 
extent either of the disease or its evil elfects are 
known to but few. The only cases known to occur, 
by people generally,' are those in which the escaped 
semen is actually seen, but for one case of this kind 
there are probabry ten where nothing of the kind 
can be observed except by means hereafter to be 
pointed out, and where of course it is never sus- 
pected. In like manner the only effects of this dis- 
ease that are usually taken cognizance of are those 
of plain and obvious character, but there are many 
others, much more to be dreaded, that can only be 
letected, and assigned to the right cause, by those 
practised in observing them. Many men suffer the 
extreme of wretchedness and disease, become in- 
sane, and die prematurely, from this complaint, with- 
out ever having dreamed of anything of the kind. In 
© j © 

general, too, their medical advisers are equally in the 
dark, and go on attempting to cure the mere effects 
while the grand cause of all is left untouched. 
Spermatorrhoea, as I shall show further on, when 
excessive, may produce symptoms similar to those 
if almost every disease the system is subject to, and 
thus lead to the belief that there is Disease of the 
Heart, Liver Complaint, Dyspepsia, and a hundred 
other affections of which there is in reality no trace 
whatever. It may also materially impair the pow. 
ers of the mind, or prevent their proper manifesta- 
tion, and so change the feelings and disposition thai 



206 EXCESSIVE SEMINAL LOSSES. 

the individual can scarcely he recognised as the 
same person, by his conduct. 

The ravages of this destructive disease are no* 
confined to any particular class, age, or condition, 
nor is it always a consequence of vicious conduct, 
as some suppose, but on the contrary, it frequently 
attacks the most virtuous and exemplary. Some of 
the causes that lead to it may operate as well upon 
the healthy and strong as upon the weak and sickly, 
and attack the middle-aged married man, of tempe- 
rate habits, as well as the licentious unmarried 
youth. It is therefore of the utmost importance 
that this destructive pestilence should be unveiled, 
so that every one may know how to guard against 
it and ward off its evils. 

To understand why it is that Spermatorrhea 
leads to such manifold and diversified evils, it will 
be necessary to refer to the Organic and Sympathe- 
tic connexion between the Generative Organs and 
the rest of the system. The intimacy and extent 
of which is but little known, and consequently its 
importance is not appreciated. In the former part 
of the present work this connection is partially 
shown, but it is necessary here to make it still 
more manifest. 

To a considerable extent the Genital Organs are 
in direct connection with the Urinary, and in some 

[>laees the same parts are common to both. The 
ower part of the large Intestine, or the Rectum, i» 
also in close juxtoposition to them, as may be 
readily seen by referring to the Frontispiece, and 
the description of the male system. Any disease, 
therefore, which affects the Genital Organs is very 
apt to derange them likewise, and it is quite possi. 
ble that the secondary disease ma) be more severe 
19* 



EXCESSIVE SEMINAL LOSSES. 207 

than the primary one. Every one knows that 
diseases of the Bladder, Kidneys, Urethra, and 
Rectum, are quite common, and frequently very 
distressing, while the causes of them are often un- 
discovered. In many such cases these diseases are 
only symptoms, the primary trouble being sperma- 
torrhoea. 

The great cause, however, of the Genital Organs 
exerting such a general influence over every part is 
their intimate connection with the nervous system. 
There is no other process carried on in the body 
that requires so much nervous pon^r as the forma- 
tion and evacuation of the semeti, aud no other is 
therefore so exhaustive of the vital energy. Even 
in youth the amount of this power required is very 
great, to effect the full formation of the Semenifer- 
ous Glands; in fact Nature seems to put forth so 
much eifort for this purpose that every other part 
is stimulated at the same time, and thus the perfect- 
ing of the Genital Organs is the means of develop- 
ing che whole system. 

This is the reason why those who are castrated 
aie always imperfect, both in body and mind, and 
die early. If the Testes are removed there is no 
other part for which nature will sufficiently exert 
herself to stimulate the whole, and consequently 
the development is only partial. Those who have 
ever seen Eunuchs will have had sufficient proof of 
this, but any one may observe the same thing in 
mutilated animals. Compare the Ox with the Bull 
for instance, or the entire Horse with the castrated 
one, and it will be at once evident that the form of 
the body, and the disposition, are completely 
changed. Even in after-life the vital energy re- 
quired to secrete the semen invigorates the whole 



208 EXCESSIVE SEMINAL LOSSES. 

system, and disposes it to a constant activity that 
would otherwise not be exhibited. Men deficient in 
this respect are never noted for their enterprize and 
love of adventure, but are always inclined to be 
calm, inactive, and retired, even when possessing 
genius. Nearly all men of strong energetic minda 
and daring dispositions are of warm temperaments, 
or in other words have a plentiful secretion of 
semen. It is therefore an essential and important 
agent, both for perfecting the system in early life, 
and also for rousing it to sufficient exertion after- 
awards, and beyond doubt a deficiency or superabun- 
dance of this fluid may exert a decided influence 
on the character of the individual. In all pioba- 
bility many are dull and inactive from deficiency in 
this respect, while many others are too impulsive 
and restless from excess, and yet the truth is sel- 
dom suspected. It is too much the custom with 
Physiologists to regard only the brain, as being con- 
cerned in the production of mental characteristics, 
and to consider it as the sole fountain of that myste- 
rious influence which is constantly exerted over 
every part of the system. A truly philosophical 
view of the subject will, however, I am confident, 
show that there are other parts whose action should 
by no means be overlooked, and among the most 
important of these are the Genital Organs. 

A due consideration of these facts explains the 
the true philosophy of sexual indulgence, and shows 
why licentious excess produces so many and such 
severe evils. In a healthy *state Nature goes on 
supplying the necessary nervous energy, both to the 
Testes and the rest of the system, till a superabuD 
dance of semen is formed, and then there is expe, 
rienced a desire for its emission, the gratification of 



EXCESSIVE SEMINAL LOSSES. 209 

•vnich is, physiologically speaking, under such cir. 
cumstances, both proper and healthful. It is in 
fact only the expenditure of the overplus energy 
and does not in any way weaken or destroy. If, 
however, by artifical excitement, or factitious de- 
sire, the seminal emission occurs before this super, 
abundance exists it becomes exhaustive, and seri- 
ously impairs the vital energy. Indulgence should 
' therefore be allowed only when this overplus power 
excites to it, and any man can easily tell when that 
is by studying his feelings and experience, and by 
not giving way to artifical excitement. 

When the seminal emission occurs oftener than 
nature properly provides for, the nervous energy 
expended is no longer a useless superfluity, but a 
portion of the common stock, and its abstraction ne- 
cessarily weakens the power of the whole system. 
For a time Nature can, by extra effort, supply the 
deficiency thus produced, but if the excess be too 
long continued this effort at last fails, and then 
a general prostration ensues. The career and ulti- 
mate end of any licentious debauchee will well 
illustrate this, and should act as a timely warning 
to shun the same evil path. 

The reason why the victim of excessive seminal 
discharge suffers from almost every ailing of boch r 
and mind, will now be evident. The stomach can- 
not digest, the heart cannot propel the blood, nor the 
b^ain think, unless they are each supplied with a 
due amount of nervous power, and if most of that 
be expended in the production and evacuation of tiie 
semen, of course they will be deficiently supplied, 
and will consequently perform their functions 
imperfectly. Here then we have the cause, in 
iuoh cases of Dyspepsia, Heart disease, dulnes* 



210 EXCESSIVE SEMINAL LOSSES. 

of the intellect, insanity, and a thousand olhei 
evils 

.Besides this exhaustion of the nervous energy, 
however, it is also probable, from observations 
recently made, that the semen requires for its per- 
fect formation some important and subtile elements 
of the body, the abstraction of which, in too great 
quantities, is highly injurious. It has been supposed, 
and with considerable plausibility, that a part of the 
seminal fluid is identical with some portion of the 
brain and nervous substance, and that this common 
material is produced for the use of both respectively 
This explains why the mind is nearly always active 
in those who are of a warm temperament, because 
the brain is nourished by a part of the same mate- 
rial which is produced to form the semen. It also 
shows why the mind must suffer when the semen is 
expended in too great quantity, because the very 
substance the brain requires is that taken away, 
and it suffers in fact from want of its proper nutri- 
ment. In confirmation of this it has been stated 
that the brain has actually been found wasted, and 
softened, in many persons who have died from 
licentious excesses, and I have myself observed the 
fact, after death from Masturbation. In one case 
especially, the color and consistence of the brain 
Vas so remarkably diiferent from those of a healthy 
person that no one could fail to observe it ; it had 
in fact the very same appearance as in many states 
of disease, and I have no doubt but that in many of 
these poor victims the brain is constantly in a state 
of inflammation, or wasting away. This is proba- 
bly the true cause of that distress in the head, dim- 
ness of sight, and loss of hearing, that many of 
these patients complain of, and which sometinc* 



EXCESSIVE SEMI-SAL LOSSES. £.]_] 

zofiimues nil they become deaf, blind, and in?ane. 
This explanation of the wa}' in which Sperma- 
torrhoea produces such various evils, will make our 
Jetailed account of its effects easily understood, and 
*rill also make clear the philosophy of its proper 
treatment, and wnat should be done for its preven- 
tion. 

CAUSES OF SPERMATORRHOEA. 

There are undoubtedly manv causes of Sper-ma- 
torrhoea with which we are but imperfectly ac- 
quainted, and probably many that are not yet sus- 
pected. Mr. Lallemand remarks that " when it 
occurs spontaneously, during sleep, in a healthy 
and continent individual, it doubtless exerts a bene- 
ficial influence on the economy, by freeing it from 
a source of excitement, the prolonged accumulation 
of which might derange the animal functions. In 
these cases it has an effeot analogous to that pro- 
duced by the bleeding at the nose, during youth." 
If, however, the discharge becomes excessive, or 
continues longer than the state that first produced 
11, great evil may follow, as already shown. Pro- 
bably the most frequent cause of Spermatorrhoea is 
too frequent sexual excitement, especially in the 
form of Masturbation. This leaves the organs in a 
state of irritation which stimulates them to constant 
activity, and makes them perfectly independent of 
the will. At first the emissions are alway attended 
fey erections and pleasurable sensations, during 
sleep, but in time they begin to occur without either 
erection or sensation, and finally take p'ace in the 
day-time, whenever the bowels are moved, or the 
urine passed, and in extreme cases there is a con. 
ttant running away of the semen without a"v in 



21^ EXCESSIVE SEMINAL LOSSES. 

termission. To understand the reason of this 
constant and uncontrollable escape of the semen, 1 
must refer to some of the Anatomical details given 
in the description of. the Male Organs. It was there 
shown that the semen passes, from the Testes, along 
a pipe or duct, called the Vas Deferens, which 
opens into the Urethra, through the Prostate Gland, 
by two little mouths called the Ejaculatory Ducts. 
These mouths are always shut in a healthy state, 
except under the influence of sexual excitement, and 
then they open to let the semen through, but after- 
wards firmly close. If, however, they are called 
upon to do this too often they become irritated or 
relaxed, and consequently are more disposed to open 
from slight causes and have less power to close 
again. They are especially liable, when irritated, to 
be acted upon by the urine, which passes over them, 
and as the bladder itself soon partakes of the same 
irritation the urine is being constantly passed and is 
nearly always mixed with semen. The pressure of 
the Rectum on the Prostate Gland, when the bowel? 
are moved, will also cause the ducts to open, and 
this is the reason why many persons always lose 
semen when at stool. The ordinary motions of the 
body even will do the same, in bad cases, and more 
especially riding, running, leaping, or coughing. 
Finally, the ducts entirely lose the power of closing, 
from relaxation and then the semen is constantly 
dribbling away. 

Whenever the semen can be seen there can of 
course be no mistake as to the nature of the trouble, 
but very often it flows involuntarily without being 
visible, as before stated, and thus the individual 
may suffer without its being suspected what from 
The manner in which this occurs will now be un 



EXCESSIVE SEMINAL LOSSES. 213 

derstood, — the ducts become sensitive to the touch 
of the wine, which in a healthy state produces nc 
affect upon them, so that every time that fluid passes 
they op^n and allow the semen to escape along with 
St The Bladder it-self being irritable also, owing 
to its intimate connection with the diseased parts, 
the urine cannot be long retained ; the smallest 
quantity causes an irresistible desire to expel it, and 
thus the individual is constantly urinating, and con- 
stantly passing semen at the same time. It is only 
very recently that this fact has been ascertain- J, 
and doubtless numbers have died in this way, -is 
before remarked, without the slightest suspici .n 
being excited as to the cause of their death. T,4e 
means by which this mode of seminal escape is as- 
certained are simple and sure, in practised h-and&, 
as I can testify from abundant experience. They 
consist in examining the urine with a properly con- 
structed microscope, which exhibits in it the pre- 
sence of the seminal animalcules. These minute 
animals are nearly always to be found in the urine 
of those afflicted with Spermatorrhoea, and their pre- 
sence of course proves the escape of semen beyond 
a doubt. — It is quite common for patients to remark 
that the urine is thick and ropy, particularly the 
last drops, and it is usually thought that this arises 
from inflammation of the Bladder, but 'n most cases 
it is only from being mixed with semen. In this 
way I have been able to ascertain the true nature 
of a person's disease in numerous instances, and tn 
apply the proper remedy, where previously they 
had been treated only for some symptom of that dis- 
ease, and of course without any permanent benefit. 
Many times I have had respectable married men, 
of temperate habits, come to me with every symp. 



51 4 EXCESSIVE SEMINAL LOSSES. 

torn of Spermatorrhoea, but who assured me that 
they had never been troubled with anything of th« 
kind. They judged so, simply because they never 
saw anything pas-s from them, and they did not know 
that it could occur in any hidden form. On show. 
ing these people the semen in their urine they were 
amazed, and deeply regretted the want of informa. 
tion that had prevented them from knowing the 
cause of their suffering before. I have no doubt 
but that this hitherto undetected form of Spermator- 
rhoea has been the cause of incalculable misery to 
thousands, and that it has condemned numbers to 
insanity and untimely death. — It is perhaps neces- 
sary to remind the reader here that when the loss 
occurs in this way it is from the ducts being irrita- 
ble, and not from being relaxed. When really re- 
laxed or open, the semen escapes at all times, from 
various causes, or perhaps without any accidental 
cause whatever. 

It was remarked above, in speaking of the causes 
of involuntary seminal emissions, that it probably 
arose most often from too frequent sexua-i excite- 
ments, especially in the form of masturbation. It 
may be as well to remark, however, to avoid mis- 
apprehension, that too frequent excitement in any 
form may act in the same way. There are un- 
doubtedly many married men who much exceed the 
bounds of true moderation, and they are apt to think 
that no harm will follow from such excess, because 
it is legitimate. This is a great and a fatal mis- 
take ; such men are just as liable to suffer as if their 
gratification was sought under any other circum- 
stances, and I very often have such come to me for 
advice. The Physiological Laws, bv which health 
\s maintained, are quite distinct from these morai 
20 



EXCESSIVE SEMINAL LOSSES. 0]5 

enactments demanded by the welfare of society \ 
and the observance of one of these can ne^er give 
immunity for the infringement of the other. 

It is not, however, excessive indulgence onl*y thai 
will cause Spermatorrhoea, for the very opposite ot 
it may do the same. There are few men of warm 
temperament, if healthy, that can remain long strictly 
continent without having involuntary emissions dur- 
ing sleep. These, as before remarked, are sanitary 
efforts of nature to relieve herself, and when not too 
frequent may be beneficial rather than hurtful. 
Unfortunately there is always a tendency, if the 
continence continues, for them to become more fre- 
quent, so as eventually to constitute a real disease, 
and thus many a virtuous young man, who has never 
indulged in any form, is subject to the same misfor- 
tunes as the licentious debauchee or the victim of 
masturbation. This is a truth as important to be 
stated as any other, though its announcement may 
seem strange to those who hear it for the first time. 
— There are fortunately many means that can be 
used, in such cases, to lessen this tendency to an 
undue increase of the discharge, and therefore these 
persons should know of their danger, in order that 
they may see the necessity for adopting such means. 
Over-exertion or great agitation of the mind will 
also cause Spermatorrhoea, owing to the sympathy 
between the genital organs and the nervous sys- 
tem, and it is frequently produced in this way in 
merchants, students, professional men and others. 
I have known many men of business who always 
nai involuntary emissions when they were much 
troubled about their affairs, and several law student 
nave assured me that after any unusual applicatioi 
they surie-ea in the same way.-— Man^ r other dis 



21 ti EXCESSIVE SEMINAL LOSSES. 

eases of the generative organs will likewise lead to 
Spermatorrhoea, and so will certain derangements 
of the neighboring parts, particularly long-continued 
constipation of the bowels, piles, and gravel. Cer- 
tain medicines also, especially Cantharides, Phos- 
phorus, Iron, and Opium, are very apt both to 
produce and aggravate it, and so will the use of 
Tobacco, Alcohol, and heating or highly-seasoned 
food. — Among occasional causes, still less likely to 
be suspected than any above referred to, may bo 
mentioned worms in the rectum, various skin diseases. 
and diseases or injuries of the brain. Venereal 
and Gonorrhoea! affections also leave a tendency to 
Spermatorrhoea, and often directly produce it. — I 
have become satisfied also that in many children 
there is a predisposition to it, inherited from their 
parents, which is likewise accompanied in many 
cases with a congenital weakness of the parts, which 
is frequently denoted by incontinence of urine. — 
All these causes will, however, be illustrated in the 
" cases" which will be given further on. — The most 
frequent cause, however, is sexual abuse, though it 
may not assume a very aggravated form till many 
years after ; the follies and vices of youth being 
thus, in many instances, the originators of disease 
and misery in mature life. 

PARTICULAR EFFECTS OF SPERMATORRHEA. 

The general effects already described may follow 
from great seminal loss occurring in any way, bat 
when that loss is involuntary their effects are 
usually more severe, and several others are also ex 
perienced that do not always accompany voluntary 
indulgence, even when excessive. In fact involun- 



VTCKSSIVE SEMINAL L0SS2S. 2)1 

fary !ds? is generally indicative of extensive and 
Confirmed disease, and of course its symptoms are 

most severe. 

Some of the first effects are exhibited upon the 
parts more immediately connected with the Genitals, 
particularly the Urinary Organs. The irritation 
speedily extends from the Ducts and Yas Deferens 
to the Urethra, and finally to the Bladder, which 
becomes in consequence so sensitive that it cannot 
retain the smallest quantity of urine without in- 
convenience. The patient is therefore constantly 
desirous to urinate, though but little fluid escapes 
when he does so, and is thus kept in a state of con- 
tinual annoyance, so that he dislikes to join com- 
pany, or to go anywhere in public, for fear that he 
should not find opportunities for relieving himself. 

I have known men made completely wretched in 
this way, and in one case, very recently, the indivi- 
dual was compelled to give up a profitable and 
pleasant occupation, merely because he could not 
remain at his post sufficiently long at a time. Ul- 
timately this irritation may become so bad that all 
voluntary power over the bladder is lost, and the 
urine then escapes constantly, without the patient 
being able to control it. This irritation of the 
bladder is usually one of the first indications that a 
man has exceeded the bounds of moderation, though 
it does not always occur, even in the most con- 
firmed cases of involuntary emission. 

When the irritation h$ts existed long in the Blad- 
der it is apt to extend along the Ureters to the Kid. 
neys, and produce there ail the symptoms of 
inflammation of the Kidneys, and of Gravel, with 
^reat weakness and pain in the back. It is difficult 
t ft convi-wn* majiv oatisnts that they have not these 



21 g EXCBSSrVE SEMINAL LOSSES. 

Qiseases, and still more difficult to show them, when 
they are uninformed, how their troubles really 
arise. In fact I have known numerous cases where 
physicians themselves have been deceived, and 
where the^y have prescribed for these mere symp- 
toms, supposing them to be the primary disease, 
without ever suspecting the truth. 

Another part very apt to suffer from Sperma. 
torrhcea is the Rectum, or large intestine, which is 
in direct communication with the Prostate Gland 
and Seminal Vesicles, as may be seen by the 
Frontispiece. In some persons there is a constant 
feeling as if the bowels were about to be moved, 
with a bearing down sensation, and a partial pro- 
trusion of the Intestine. In others there is a gene- 
ral uneasiness around the Anus and Perineum, 
which causes the patient to be continually shifting 
about on his seat, and moving as if he were in pain. 
Occasionally there is considerable irritation, or 
itching, and very often severe Piles, from the cir- 
culation of the blood being impeded. In short the 
Rectum may be affected in many different ways, 
and so may the rest of the intestines, from their 
connection with it. Sometimes there will be a par- 
tial paralysis of their muscles, from the deprivation 
of nervous power, which, by arresting the peristal- 
tic motion will cause obstinate constipation. At 
other times the mucous coat partakes of the general 
irritation, and then we have Diarrhoea exhibited, 
and no medication whatever can check it so long as 
the Spermatorrhoea continues. 

Another symptom of Spermatorrhoea, sometimes 

ntet with, is a peculiar irritation of the Urethra, 

and Meatus Urinarius, or external opening from the 

Peak. This irritation is sometimes verv slight, and 

20* 



EXCESSIVE SEMINAL LOSSES. 219 

only experienced after urinating, but at other times 
it becomes quite severe, and pretty constant, resem- 
bling in fact a real Gonorrhoea, and being even 
accompanied by a discharge, showing the existence 
of nflammation. Many men have become much 
alarmed from this symytom, supposing it to be an 
infectious disease, and in several instances I have 
known it the cause of mutual suspicion and much 
domestic unhappiness. 

These local effects are usually the precursors of 
more general and severe ones, the connection of 
which with the true cause of all it becomes more 
difficult to trace. In addition to a universal lassi- 
tude and weakness there is experienced a remarka- 
ble loss of power in the lower limbs, owing to which 
the patient finds it impossible to walk far, or to 
stand long upon his feet, without being overcome 
with weariness, and feeling numbed in the legs and 
thighs. The slightest exertion makes him tremble 
and look pale, his heart flutters, or stops beating 
altogether, and he experiences a tendency to faint. 

This distressing debility is sometimes so exces- 
sive that the individual becomes almost unable to 
move, and yet he may not be much fallen away, 
nor look very sick, so that uninformed persons are 
apt to think it is mere idleness, or pretension. In 
the course of time, however, the stomach begins to 
suffer, and oecomes so weak that digestion is imper- 
fectly performed, and then emaciation follows, 
which sometimes becomes a complete and rapid 
wasting away. The loss of nervous power some, 
times affects f he Diaphragm more especially, and 
then there is great difficulty in breathing, which, 
with other sensations, leads to the belief that the 
Luugs are diseased. And when this occurs along 



220 EXCESSIVE SEMINAL LOSSES. 

ws h palpitation of the heart, which originates much 
in the same way, the poor patient is in a state of 
constant worriment and fear, nothing being able tc 
convince him that he has not Consumption an<? 
Heart disease all at once. 

The head is not exempt from the general influ 
rice, and headache, rush of blood, dizziness, ant 
constant drowsiness are commonly complained of 
Partial dimness, or loss of sight, is also frequently ■ 
observed, as if a cobweb had been spread over the 
eye, which fills with water, and looks red, on the 
slightest extra use of it. The eyelids, however, 
are more disposed to inflammation then the eye 
itself, and it is impossible to do them any good 
while the Spermatorrhoea exists. 

The most marked effects, however, are exhibited 
in the mind and feelings. Mental activity become? 
as difficult and unpleasant as bodily, and the patiem 
becomes dull, listless, and moping, his memory 
fails, his judgment weakens, and all power of ap- 
plication seems lost. When he sits down to study 
anything the powers of the mind appear to wander, 
so that he cannot bring them to bear on the desired 
point, and often he wakes up from a kind of dream 
and finds that he has quite forgotten the subject 
altogether. This listless abstraction often gets so 
bad that the individual is unfit for business of any 
kind, and not unfrequently it degenerates into insa- 
nity. I have known several instance of men failing 
in their business from this cause, and j have no 
doubt but that it is oftener connected with human 
mistakes and errors then people suppose In youth 
especially this effect is a very serious one, and the 
bright prospects of many a promising young map 
have been crushed in this way, without either him 



EXCESSIVE SEMINAL LOSSES. 221 

selt or his friends, perhaps, being able o tell ih* 
cause. If the records of College and business fail- 
ares, and of our lunatic asylums, could all be 
properly written, the number of victims in each 
who have been made so by this disease would 
astonish every one. And probably we may add 
also that moral failing has not unfrequently had the 
same origin. 

The feelings and dispositions of patients of this 
class, in most cases, undergo as decided changes as 
their mental powers, and equally to their disadvan- 
tage. Sometimes they become melancholy, and 
sensitive, to such a degree that they burst into tears 
from the slightest cause, and constantly think they' 
are purposely subjected to trials and insults that no 
one around them dreams of. At other times they 
become irritable and peevish, keeping all around 
them in as great a state of irritation as themselves, 
and firmly believing they are the most ill-used peo- 
ple in the world. Occasionally there is some pe- 
culiar form o^ Monomania exhibited, one person 
believing that he is constantly pursued by some 
enemy, who wishes to deprive him of his life or 
fortune, while another as firmly believes that some 
terrible misfortune is about to overtake him, from 
which he can by no effort whatever escape. It is 
but seldom there is any tendency to violence exhi- 
bited, at least towards others, the powers being too 
much depressed, but sometimes the patient will in- 
jure himself. Many instances are on record of 
monomaniacs, of this class, castrating themselves* 
under the idea that they could never be better while 
the Genital Organs remained. In general there is 
a decided aversion to the opposite sex, and a shy- 
ness and embarrassment in approaching them. 



222 EXCESSIVE SEMINAL LOSSES. 

Many repxted hermits and woman-hate? s have been 
men of this kind. 

In short there is no end to the abberration3 and 
vagaries of mind and feeling induced by continued 
Spermatorrhoea, as will be evident on reading the 
following cases, which will better exhibit the pecu. 
liar features of these cases than any mere general 
description. 

There is one melancholy effect of this disease oc- 
casionally seen which I would willingly pass over 
if it were not necessary to disclose the whole truth, 
so that the real extent of the evil may be seen. 

The effect I refer to is a tendency to unnatural 
habits and vices, which in such cases Charity bids 
us look upon as resulting from a diseased brain, 
sympathizing with the derangements of other parts. 

The following cases are selected partly from My 
own Note-book, and partly from M. Lallemand's 
celebrated work, " I)es Pertes Seminales" 

Case 1. (Communicated by Dr. McDougall, j» 
the preface to his Translation of Lallemand.) 

« R. H , set. thirty-nine, passed the early 

part of his life in the country, and was in the habit 
of taking much and violent exercise. About the 
age of sixteen, he entered a banking establishment 
in London, in which by great diligence and steadi- 
ness of conduct he rose before he was twenty-five, 
to the post of cashier. The affairs of the house 
fell into disorder, and ultimately a bankruptcy oc. 

cur red ; Mr. H , from the amount of confi. 

dence reposed in him by the partners of the firm, 
was Tnuch harassed during these unforiunate pro* 
eeedings. Soon afterwards he became manager of 



EXCESSIVE SEMINAL LOSSES. 223 

a large mercantile establishment in the city, and 
about this time commenced some speculations in 
foreign bonds. From fluctuations in the share mar- 
ket he was a loser to a considerable extent ; his 
mind was much harassed and he began to suspect 
those about him of dishonesty towards their employ- 
ers. On investigation these suspicions were proved 

to be totally unfounded ; Mr. H gave way 

to great violence of conduct, and resigned his situa- 
tion. About this time his father died ; and Mr. 

H was much disappointed at finding that 

property, which he had incorrectly believed entailed 
and consequently his, as eldest son, was left by will 
to be equally divided between himself and the rest 
of his family. His conduct at this period was of 
the strangest description. He dreaded to go out 
into the streets of the town where his family resided, 
refused to join in their meals, and ultimately 
abruptly left their house to return to London. In 
1837, his state had become such that in consequence 
of his repeated letters, members of his family vi- 
sited London, and on their return took him with 
them into Devonshire. About this time his mental 
disorder put on a decided aspect ; and I had then, 
as well as later, ample opportunities of observing 
his conduct ; and frequently heard his complaints. 
Emissaries were constantly on the search for him 
to arrest him for unnatural crimes committed in 
London ; every one who met him in the street, read 
in his countenance the crimes he had committed ; 
tailors made his coats with the sleeves the wrono 

o 

way o l the cloth, in order to brand him with in- 
famy ; the sight of a policeman in the street alarmed 
him beyond measure ; and often, if a stranger hap- 
pened to be walking for some little time in the same 



224 EXCESSIVE SEMINAL LOSSES. 

direction as himself, he would exclaim that he was 
one of the emissaries sent to seize him. At other 
times he would lock himself in his room and weep 
by the hour. He never took his meals with the fa- 
mily, and never tasted food or drink, without first 
preserving a portion for. chemical analysis, as he 
was convinced bis friends were in a conspiracy to 
poison him slowly, in order to wipe out the memory 
of his crimes. These ideas haunted him night and 
day. His digestion was much disordered ; his sleep 
broken and restless, and his bowels excessively con- 
stipated. His face was flushed, and periodical at* 
tacks of cerebral excitement occurred; during which 
he complained of vertigo, noise in the head, loss of 
sight, &c. He complained also of loss of memory, 
and frequently of bodily weakness, and lassitude. 
The best medical advice the neighborhood afforded 
was obtained, unavailingly ; the opinions of the gen- 
tlemen consulted, were that Mr. H — was labor. 

ing under aggravated hypochondriasis, complicated 
with monomania. Various causes were suggested 
as giving rise to the disorder, but no previous case 
of insanity was recollected in any branch of the 
family. Mr. H now began to talk of leav- 
ing England for America, in order to avoid his per 
secutor* ; and to prevent this he was placed undei 
the care of a private keeper. While with this per 
son he frequently and bitterly complained of con- 
stant pollutions while at stool, with darting pain, and 
ft sense of weight between the rectum and bladder. 
He had also urethral irritation attended with dis- 
charge, pains in his loins, and in one groin, weak- 
ness of his legs, thick urine, piles, and obstinate 
costiveness. He kept a diary at this time, which is 
%l present in my hands. Not a day is passed in thia 



EXCESSIVE SEMINAL LOSSES. 22o 

diary without mention of the distressing seminal 
discharges from which he suffered. These were 
treated as of no importance by his medical attend 
ants, although he never ceased to complain of them, 
and solicited aid so long as he continued in confine- 
ment in England. When led away from his disor- 
der into any discussion on public matters, he was, 
however., a most amusing and instructive compa- 
nion ) as a man of business he was equally acute, 
and to a stranger as long as nothing was done to 
offend him he was, to all appearance, a man of ob- 
servation and experience in life. For about two 
years and a half he was under the care of various 
gentlemen, devoted to the insane, and at length he 
was discharged from an establishment near Bath, by 
the visiting magistrates, as a person confined with- 
out due cause. His first act was to commence legal 
proceedings against his f r iends for his detention, 
and having gained his action, he immediately pro- 
ceeded to London, and waylaid and violently as- 
saulted a gentleman of high commercial standing in 
the city. After this offence he was confined for a 
considerable period in default of bail, and imme- 
diately on his liberation it is believed that he pro- 
ceeded to America. From this time nothing was 
heard of him until September, 1843, when a letter 
was received by a gentleman who formerly attended 
him, in which he stated that the same course of per 
secution was pursued towards him in America, aa 
had been followed in England. He complained of 
not being able to obtain efficient medical treatment, 
although he had applied to the most eminent practi- 
tioners at Cincinnati, and afterwards at Philadel- 
phia and New York. After this, nothing more waa 
Heard of Mr. H until the year 1845, when 



226 . EXCESSIVE SEM/NAL LOSSES. 

an American newspaper was forwarded to his friends 
by an unknown hand, containing an account of his 
death, and of an inquest held on him headed l Death 
of a Hermit in West Jersey.' It was stated thai 
ne had lived on a small farm, entirely alone, with 
the exception of a dog, and that he had shunned all 
intercourse with his neighbors. He was taken sud- 
denly ill, applied to a neighboring farmer for assist- 
ance, but died in the course of the following day. 
From information subsequently obtained by his 
friends, it is believed that be died of apoplexy, or 
perhaps, in one of the attacks of congestion of the 
brain, from which he frequently suffered before he 
left his native country. 

" The symptoms of this unfortunate case strongly 
resemble those of the thirty-second and fifty -sixth 
cases related by M. Lallemand. It was more ag- 
gravated, however, and presented the somewhat un- 
common feature of the patient's discovering the 
frequent pollutions, and constantly complaining of 
them ; these, unfortunately, were treated as matters 

of no importance. Mr. H. 's insanity at first, 

constantly had reference to his having either com- 
mitted or been accused of committing unnatural 
crimes, and this idea never entirely left him, al- 
though during the latter part of his life, his more 
prominent hallucinations had reference to imagin- 
ary persecutors constantly watching him, and endeav- 
oring to ruin him by spreading false reports, and 
to poison him by adulterating his food, and infusing 
noxious gases into the air. There can be little 
doubt, on taking into consideration his complaints 
of weight between the rectum and bladder, with 
darting pains, &c, in the same region, that the pol- 
lutions arose from irritation in the neighborhood of 
2* 



EXCESSIVE SEMINAL LOSSES. 227 

the prostate ; and I think, that if at an early period 
of his disease this had been relieved, there would 
nave been considerable hope of his recovery from 
ihe hallucinations he manifested." 

This case I have selected as one that gives a great 
number of the symptoms usually observed, and as 
being well calculated to give a correct idea of the 
immense series of evils that often follow from this 
disease. The next case is also one of Dr. McDou- 
gall's, and is equally instructive. It is a perfect 
copy of numbers that have come under my notice. 

H The other case to which I have alluded as par- 
ticularly attracting my attention, and which came 
under my notice about the same time, was that of a 
young man of high intellectual power and general 
talents, studying medicine. This gentleman was 
one of my most constant companions, when almost 
suddenly, a serious change came over him — he 
snunned society, especially that of females, was 
morose, taciturn, and frequently shed tears ; he sat 
sometimes for hours in a kind of abstraction, and on 
being aroused from it he could give no explanation 
of his thoughts and feelings ; he constantly ex- 
pressed to me his conviction that he should never 
succeed in his profession, and frequently exclaimed, 
that he was ruined both here and hereafter — body 
and soul — and by his own folly. About twelve 
months previous to this depression of spirits, he had 
a very severe attack of blennorrhagia, with orchitis 
and phymosis. This left a degree of irritability in 
the bladder,, which required him to pass urine fre- 
quently. His digestion became so disordered that 
the simplest f&od would not remain on his stomach* 



228 EXCESSIVE SEMINAL i GSSES. 

and he had frequent eructations of fluid, whioh 
blazed like oil if spit into the fire. This gentle, 
man's father was a physician, and heiig naturally 
anxious for his son, obtained for him the advice of 
many of the most eminent of the faculty. No im. 
provement took place however. After he had been 
six months in* this state, I had an opportunity of 
spending three weeks by the sea-side, and my 
friend accompanied me. We slept in the same 
room, and he was scarcely ever out of my sight. 
Before our return, his health was almost re-esta- 
blished, and his spirits had returned to their natural 
condition. Twelve months later, however, he again 
fell into the same state of despondency, and this 
time his condition was much worse than on the for- 
mer occasion. He frequently remained in bed three 
parts of the day, and no threats or entreaties on the 
part of his father, could induce him to get up. His 
intellectual faculties were totally prosi rated, and a 
vacant stare, which took the place of his natural 
lively expression, induced considerable fears of his 
ultimately becoming idiotic. I was the only person 
who possessed any influence over him, which may 
perhaps be attributed to his feeling that 1 was 
aware of the cause of his disorder. This state 
continued between three and four months, during 
which time I was with him as much as my other 
duties would permit, and frequently showed him the 
folly of the course he pursued. At the expiiatioD 
of this time he gradually recovered. He has since 
had a slight relapse once only ; be has puisuwd his 
professional studies with success, and is at present 
a medical officer in her Majesty's service. 

On this case, I need not only remark, that ch« 
symptoms did not ari&e from involuntary seminal 



EXCESSIVE SEMINAL LOSSES. 229 

discharges, but from excessive discharges caused by 
abuse. The various treatment recommended by 
the distinguished practitioners consulted, proved un- 
successful, because the origin of the disorder was 
unrecognised, and the remedies consequently use- 
less, while the habits of abuse were continued." 

The following case is one of M. Lallemand's, 
and is chosen here as an illustration of the fact, 
already stated, that this disease may exist and be- 
come very serious, in married persons. It also 
shows how physicians may easily mistake the 
symptoms for those of other affections. 

"In the month of January, 1824, I was requested 
to see M. De S , affected with symptoms of ce- 
rebral congestion, from which he had suffered for 
some time. During several consultations! gathered 
the following facts. 

" M. de S was born in Switzerland of healthy 

parents, and his father died suddenly of affection of 
the brain. M. de S , possessing a strong con- 
stitution and an active mind, received an excellent 
education, and at an early age turned his attention 
to the study of philosophy and metaphysics ; he 
afterwards studied moral philosophy and politics. 

" After having spent some years in Paris, pursu- 
ing his favorite subjects, he was obliged to under- 
take the management of a manufactory, and to 
Attend to details which wounded his pride. He 
became, by degrees, peevish and capricious — passed, 
without apparent cause, from an extravagant gaiety 
to a profound % melancholy — was irritated by the 
slightest contradiction — showed no pleasure at for- 
lunate events — and gave way to anger on impropei 



230 EXCESSIVE SEMINAL LOSSES. 

occasions ; at length he appeared to feel disgust emm 
fatigue at correspondence or mental exertion. 

" At this period he married, and Dr. Butini of 
Geneva, his medical attendant and friend, wrote 
respecting him as follows : — 

" With this marriage the most happy period of 
his existence seemed to commence ; but soon the 
germs of the disease, which so many causes had 
contributed to produce, became rapidly developed. 

[t was perceived that M. de S wrote slowly 

and with difficulty, and his style presented signs of 
the decay of his faculties ; he stammered and ex. 
pressed his ideas very imperfectly ; he experienced, 
also, at times, attacks of vertigo, so severe as to 
make him fall, without, however, losing sensibility, 
or being attacked by convulsions.' 

" One day an attack which frightened the patient 
seriously, and left a deep impression on his family, 
came on whilst writing an ordinary letter. His 
medical attendants attributed this attack, which left 
a weakness of the right side of the body, to apo- 
plexy. Twenty leeches were applied to the anus, 
and the danger seemed at an end. 

" Similar attacks, however, occurred at Geneva, 
Montpellier, and several distinguished practitioners 
were, consulted : some of these, s ruck by the misan- 
throphic irritability of the patient, and his solitary 
habits, regarded the affection as purely hypochon- 
driacal or nervous ; others, taking into consideration 
his digestive disorder, considered it an affection of 
the liver ; but the great number were of opinion 
that there existed a chronic affection of the brain, 
such as encephalitis, or chronic meningitis, arising 
from hereditary predisposition. This last opinion 
was held by Dr. Bailly, (of Blois). 
21* 



excess: ve seminal losses. 231 

" At all these consultations, the necessity of ab- 
staining from serious occupation, the utility of trav. 
elling — of various amusements, and of a strict regi- 
men — and the importance of free evacuations from 
the bowels by means of purgatives and injections — 
were agreed on. Many of the practitioners recom- 
mend the frequent application of leeches to the anus, 
with milk dietj &c. ; others thought that assafoetida, 
baths, and camphor, were indicated. 

" None of these modes of treatment produced any 
considerable amendment ; the leeches weakened the 
patient, and the milk diet disordered his stomach. 
His constipation continued. Cold plunge baths, and 
cold effusion to the head, relieved the insupportable 

spasms M. de S experienced in his legs and face ; 

the waters of Aix, in Savoy, and the use of douches 
also appeared to produce some improvement. 

" Still M. de S became more irritable, and 

at the same time more apathetic. His attacks were 
more frequent and more violent, and he manifested 
greater indifference towards the persons and things 
he had before been partial to. The weakness of his 
limbs increased to such an extent that he frequently 
fell, even on the most level ground. His nights 
were restless, his sleep very light and often inter- 
rupted by nervous tremors, or acute pains accompa- 
nied with cramp. The cerebral congestion in- 
creased, and the imminent fear of apoplexy rendered 
icechea to the anus, venesection in the foot, tartar- 
jmetic ointment, blisters, mustard pediluvia, and the 
application of ice to the head, necessary. 

" Notwithstanding the employment of these ener- 
getic measures, another violent attack of congestion 
occurred. I was summoned on this occasion, and I 
found the patient restless, agitated, and inca^&ble sf 



232 EXCESSIVE SEMlTsAL LOSSES. 

remaining two minutes in the same place ; his face w as 
red, his eyes projecting, injected, and fixed, his phv 
siognomy expressed extreme dread ; his walk was 
uncertain, his legs bending under the weight of his 
body ; his skin cold, and his pulse small and slow. 

" The last circumstance attracted my attention, 
and I also recommended the application of leeches to 

the anus. M. de S immediately threw himself 

into a violent passion and asserted that leeches had 
always weakened him without giving him any relief. 
I was too much afraid of the occurrence of apo- 
plexy to pay attention to this assertion, and I suc- 
ceeded in obtaining the application of six leeches. 

" The next day I found tbe patient very pale, and 
so weak that he was unable to walk — a source of 
much annoyance to him, as he manifested a con- 
stant desire for motion. An cedematous swelling 
of the parotid gland and of the right cheek followed, 
which was succeeded, a few days after, by a similar 
state of the left leg and foot. 

"Sleep had become indispensable, and the patient 
was much reduced from the want of it ; he told me 
with tears in his eyes, that he had lost his appetite, 
and could no longer relieve his bowels. I alsc 
learned that he was habitually costive and flatulent ; 
that he often had recourse to injections and purga- 
tives in order to relieve his obstinate constipation . 
and, lastly, that his walks, and the evacuation of his 
bowels had lately become the sole objects of his 
thoughts and conversation. 

"Having observed analogous symptoms in almost 
every person affected by diurnal pollutions, I made 
further inquiries respecting the attack, in which it 
was supposed that the right side had been paralyzed, 
and I was soon convinced that the intellectual pow- 



ILvCESSIWh S2MINAL LOSSES. 283 

ers had been wanting, and not the power in tne hand 
which held the pen : both sides of the body had, in 
feet, retained an equal degree of strength. 

"Struck by a remark of Dr. Butini's respecting 
the progress of the disease soon after marriage, I 

made inquiries of Mme. de S , and learned that 

the character of her husbaud had become so un- 
certain, irritable, and tormenting, that his friends 
thought he must be unhappy in his marriage. I 
then suspected that the origin of the patient's dis- 
ease had been mistaken, and I requested that his 
urine might be kept for my inspection. The ap- 
pearance of the urine was sufficient to convince me 
that my suspicions were well founded ; it was 
opaque, thick, of a fetid and nauseous odor, resem- 
bling that of water in which anatomical specimens 
have been macerated. By pouring it off slowly, 1 
obtained a flocculent cloud, like a very thick decoc- 
tion of barley ; a. glairy, ropy, greenish matter re- 
mained, strongly adherent to the bottom of the vessel, 
and thick globules of a yellowish white color, non- 
adherent, like drops of pus, were mixed with this 
deposit. 1 was therefore convinced that spermaior- 
rhoea existed, together with chronic inflammation of 
the prostate and suppuration in the kidneys. 

" Notwithstanding the state of M. de S 's in- 
tellect, I was able at a favorable moment to obtain 
further information. At the age of sixteen, he haa 
contracted blennorrhagia ; this he carefully con- 
gealed, and succeeded in curing by the use of refri 
gerant drinks. The following year the blennorrha- 
gia returned and was removed by astringents. Two 
years afterwards, from drinking freely of beer when 
heated, the discharge again appeared, and after some 
time it again returned, from the effects of horse ex 



234 EXCESSIVE SEMINAL LOSSES. 

ersise. Since that lime M. de S had felt little 

sexual desire, and had abstained from intercourse 
without regret. Ejaculation during coitus hat' 
always been very rapid. Fully convinced by com 
bining all these circumstances, I explained to M. di 

S the nature of his disease, and he promisee 

me to observe carefully. 

" The next day he called me aside, and told rm 
that the last drops of urine were viscid, and thai 
during an evacuation of the bowels, he had passed 
a sufficient quantity of a similar matter to fill the 
palm of his hand. 

. " Eight days after, another attack of cerebral 
congestion occurred, followed by stertorous breath- 
ing, cold skin, and an inappreciable pulse ; the pa- 
tient fell into a kind of syncope, of which he died on 
the 1st of March, 1824." 

Not long since I had under rn,y care the Edito; 
of a Newspaper whose case was almost identica-i 
with the one above, and who was first made sick, as 
he informed me, by excessive agitation during ai? 
Election Campaign. 

Constipation has been spoken of as a cause of 
Spermatorrhoea, but few persons would suppose i> 
could have the effect that sometimes follow fn m it. 
The next case, however, will convince the most skep- 
tical, and though it is not often that we have such e 
severe case, there are yet plenty that are bad enough. 

" M. De B consulted me in the month of 

May, 1834, respecting a cerebral affection, on whose 
nature distinguished physicians could not agree, but 
which all regarded as very serious. 

"He was of a middle heighv with a large chetf 



EXCESSIVE S.2PIINA* LOSSES. 235 

and a well-developed muscular system ; his hair 
brown and curly, his beard thick, his face full and 
deeply colored. Notwithstanding these signs of ap- 
parent strength and health, I noticed that his knees 
were slightly bent, and that he was unable to remain 
long standing without shifting the weight of his 
body from one leg to the other ; his voice was weak 
and husky ; the motions of his tongue seemed em- 
barrassed, and he articulated his words in a con- 
fused manner ; his attitude was timid, and his man- 
ner had something of incertitude and fear; he had 
been married fifteen days. 

" His mother-in-law and his young wife, who ac- 
companied him, informed me that within this period 
he had several attacks of congestion of the brain, 
during which his face was highly injected. At the 
first of these attacks the surgeon, called in the 
night, had bled him to the extent of three pounds, in 
order to prevent apoplexy ; repeated venisection, and 
the frequent application of leeches, had relieved 
such attacks of congestion, but had not prevented 
their recurrence. The patient had become subject 
to attacks of vertigo, and was unable to look up- 
wards without feeling giddy ; his legs had become 
so weak that he had fallen several times, even when 
walking on level ground ; his ideas had lost their 
clearness, and his memory failed rapidly. 

" These symptoms had spread consternation 
through both the family of my patient and that of 
his wife, especially as several practitioners of repu 
tation were agreed as to the existence of some seri- 
ous disease of the brain, although they could not 
decide as to its nature. Most of them, however, 
were inclined to suspect ramollissemeni . (Softening.) 

" The countenance of the patient during this re- 



236 EXCESSIVE SEMINAL LOSSES. 

eital, the coincidence of the congestion, with the 

[>eriod of his marriage, and the bad effects of blood- 
etting, made me suspect the nature of the disorder, 
and induced me to question the patient separately. 
When we were alone he told me, stammering, that 
an unexpected occurrence, immediately after hii 
marriage, had at first prevented any conjugal in- 
timacy, and that afterwards he had found himself 
completely impotent. He attributed this misfortune 
to the attacks of cerebral congestion, and to the 
bleedings he had undergone. On further inquiry, 
however, I discovered that he was affected by diur- 
nal pollutions. 

" The following is the history I obtained from this 
patient by dint of questioning : — at the age of six- 
teen, he possessed a very strong constitution, and an 
ardent and passionate character. At school he 
contracted the habit of masturbation, and at the eni 
of three months he had frequent nocturnal pollu- 
tions, with pain in the chest and troublesome palpi 
tations, which warned him of the danger of the vice, 
and he renounced it forever. When he became 
free from the restraints of school, he subdued the 
ardor of his temperament, by the most violent ex- 
ercises — especially that of the chase — and he at- 
tached himself to agricultural pursuits with much 
energy. 

" This new mode of life so completely re-esta- 
blished his health, that he was tormented by ener- 
getic, and continual erections, to subdue which, he 
employed river-baths, even in the coldest seasons. 
He never committed excesses of any kind, and had 
never suffered from any blennorrhagic or syphilitio 
affection. 

"In 1831, the erections were slightly mitigated; 



EXCESSIVE SLMiNAL LOSSES. 287 

but he became very much constipated, which he 
attributed to the constant use of horse exercise. 

■• in 1832, he experienced some numbness «iad 
creeping sensations in his feet and legs. 

" In 1833, frequent dazzling of sight occurred 
with vertigo, difficulty of vision, and flushes of heat, 
cowards the head and face, the patient attributed all 
these symptoms to the effects of his still increasing 
constipation. 

At the same time that these symptoms occurred, 
the patient's erections became rarer, less energetic, 
and altera time, incomplete; his fitness for intel- 
lectual labour diminished ; the cerebral congestions 
became more frequent, and more severe ; his face 
became habitually veity red ; his head burning ; an 
almost constant fixed pain came on in the orbits 
and his character became fickle and contradictory. 

" His family physician, attributing all these dis- 
orders to a state of plethora, caused blood to be 
drawn several times, without benefit. 

" In March, 1834, M. De B engaged himself 

to a young lady, who lived about two leagues from 
his estate ; and in order to visit her without neglect- 
ing the care of his property, he was obliged to 
make long and frequent journeys on horseback ; 
shortly before his marriage, these journeys became 
so frequent, that he might be said to pass the greater 
part of his time on horseback. His constipation 
now increased to such a degree, that he passed forty 
days without faecal evacuation ; during his efforts at 
stool he passed semen in large quantities, and in 
jets, although the penis remained flaccid. He had 
previously, several times, noticed the same occur- 
rence, but as he attributed it to his long-continued 
continence, he paid little attenticn to the cireun* 



238 EXCESSIVE SEMINAL L0SSB5. 

stance. Jrf is urine was constantly muddy ; it was 
passed slowly, and with difficulty, and threw down 
a large quantity of thick and flocculent deposit. 

" M . De B awaited the period of his mar- 
riage with a vague uneasiness, of which he could 
not imagine the cause ; he was much attached to 
his betrothed, but, nevertheless, he experienced 
more embarrassment than pleasure in her society. 

" I have already stated what occurred after his 
marriage, I should add, that having examined his 
genital organs, I found them, contrary to my expec- 
tations, of unusual development, the Testicles were 
large a-nd firm, but the scrotum was slightly re- 
laxed. The patient experienced a strange tingling 
in the organs, and at times felt as if they were com- 
pressed by a hand of iron. These sensations in- 
creased when near his wife, and the penis dimi- 
nished in size, and became retracted towards the 
pubes, in proportion as he endeavored to excite 
erection. 

" The union of all these circumstances could not 
permit any doubt to remain on my mind as to the 
nature of his disease ; it became evident that all 
idea of cerebral affection must be abandoned, and 
that the diurnal pollutions, with all the symptoms of 
which they were the cause, must be referred to the 
patient's constipation. 

" The first indication to, be fulfilled, therefore, 
was to relieve the constipation ; indeed I hoped this 
was all that would be necessary : the youth of the 
patient, the development of his genital organs, and 
the strength of his constitution induced me to sup- 
pose that his cure would be prompt and easy. 
Things did not, however, follow so simple a course. 

" The next day the patient began to use ascend 
22 



EXCESSIVE SEMINAL LOSSES. 239 

ing douches ; and was put on a vegetable diet, with 
iced- milk, 

" The first douches caused the evacuation of an 
immense quantity of fsecal matter in lumps, as hard 
as bullets, and it was not until after the sixth douche 
that the fseces were of normal consistence ; I then 
caused the temperature of the water to be lowered 
to 25° of Reaumur's* scale, and afterwards to 20° 
Reaumur. f The last few douches were given at 
160 Reaumur. J After the twelfth douche had been 
administered, they were omitted, the bowels having 
acted regularly every day, without the necessity for 
the slightest straining. 

" By this time the patient's countenance had lost 
its purple tint, and presented a more natural appear- 
ance : the stunning sensations of which he had 
complained diminished by degrees, and at length 
disappeared entirely ; his legs regained their 
strength, and he was able to continue in a standing 
posture for a long time without fatigue, ahd to take 
long walks without inconvenience ; his voice re- 
sumed its natural tone, his eye regained its expres- 
sion, and all his motions acquired firmness. 

" At the expiration of a fortnight the spermatic 
discharges during defecation had ceased entirely ; 
but his urine still continued thick. His erections 
had already acquired sufficient energy to make him 
believe himself cured, but ejaculation took place 
almost instantaneously. The use of ice and co)d 
lotions did not ameliorate his condition. 

" Such was M. De B 's state at the end of a 

month ; when, in order to aef, directly on the orifices 

• About S8 C of Fahrenheit. 
f About 81° of Fahrenheit. 
I Abort 68° of Fahrenheit 



240 EXCESSIVE SEMINAL LOSSES. 

of the ejaculatory ducts, I determined to uauterigt 
the prostatic portion of the urethra. As soon as the 
inflammation had subsided, his erections became 
more perfect and energetic ; yet ejaculation still 
took place too rapidly. The period for using the 
mineral waters having arrived, I sent M. De B 
to Aix, in Savoy, where I visited him shortly after. 
He had experienced very little benefit from the use 
of the waters, either externally or internally.. 

" I now prescribed douches, alternately very 
warm and very cold, on the perineum and loins, the 
spout being changed when the sensation, either of 
cold or heat, became very intense. The bath was 
ended after about twenty or twenty-five minutes, by 
the cold douche, and the patient's skin remained 
highly injected for some hours afterwards. 

" The effects of these douches were conclusive ; 
after the first, the patient's erections acquired a de- 
gree of vigor and duration which reminded him of 
his early torments. He continued the use of the 
douches for some days after his re-establishment; 
and when he left Aix the functions of his genital 
organs were perfect. Ejaculation was a good deal 
protracted by the use of the douches. 

" I have entered into a somewhat lengthy detail 
of this case, because the subject affects gravely the 
most serious interests of society, as well as the 
happiness and peace of families. Besides, I con- 
fess that I was much interested by the unhappy 
position of a young man whose misfortune was un- 
deserved, and could not have been foreseen, as well 
as by that of his wife — a young woman scarcely of 
age, who was obliged to enter into the most unplea. 
saat details. 

" It is evident that in the case of M De B ■ ■■■« -> 



EXCESSIVE SEMINAL LOSSES. 241 

the constipation was the cause of the involuntary 
•eminal discharges. The patient had practised 
masturbation it is true, and nocturnal emissions fol 
lowed ; but he had continued the vice only three 
months, and his health, though disordered for a 
"short time, was soon re-established by the use of 

violent exercise. M. De B was even tor- 

mented during several years by erections, which 
must have been very energetic, if we may judge by 
the means he took to subdue them. From this time 
he had never committed any kind of excess, and'he 
had never suffered from either blennorrhagia 01 
syphilis. There is then no circumstance in the 
history of his life, except his constipation, which 
vould account for the involuntary discharges. 

" But to what is this constipation to be referred <? 
A.fter all I could learn from the patient concerning 
his mode of life, I could only refer it to his constant 
horse exercise. In fact, M. De B some- 
times passed whole days on horseback, either for 
the purpose of hunting, or of superintending the 
management of his property. Shortly before his 
marriage his rides became more frequent and 
longer, and his bowels at this time did not act dur- 
ing forty days. The weakness of his legs, the 
stunning sensations, &c, increased in proportion as 
bis costiveness became more confirmed. 

" This case recalls to my mind the well-knovfn 
observation of Hippocrates on the impotence of the 
Bcythians, and I have no doubt that his opinion was 
founded on analogous facts. I shall treat this sub- 
ject more fully in another place ; but since at pre- 
sent I am considering the causes of Spermatorrhoea 
which act on the seminal vesicles through the influ- 
ence of the rectum, I report this striking case 



24.2 EXCESSIVE SEMINAL LOSSES. 

showing the effects of long-continued horse exercise, 
" M. De B— — was accustomed to nutritioui 
food, and of a well-marked sanguineous tempera- 
ment : he had a large chest, powerful muscles, and 
a highly injected countenance ; it is therefore by no 
means extraordinary that he should have been bletf 
frequently for the relief of the cerebral congestions 
to which he was subject. On the night of his mar- 
riage the blood rushed to his head with greater 
force than ever, so that an attack of apoplexy was 
rrmch feared ; the weakness of the legs, the frequent 
falls, and the attacks of vertigo, were therefore 
afterward attributed to an advanced stage of disease 
of the brain. This was a very natural opinion, but 
it was an incorrect one ; I doubted it from the com- 
mencement, although the patient was brought to me 
in consequence of a supposed cerebral affection. ] 
formed a different impression, because I had previ- 
ously seen many analogous cases. There exists in 
all these patients something peculiar in the expres- 
sion of the eyes, in the position, in the voice, and 
in - the general appearance ; something of timidity 
and bashfulness which I am unable to express, bu* 
which is instantly recognised by the experienced } 
although perhaps it is incapable of explanation. 
However this may be, the relation of the above cas€ 
should draw attention to the subject. 

" I admit that venesections seemed to be clearly 

indicated in the case of M. De B , but the 

loss of blood never produced good effects either im- 
mediate or remote ; and by analyzing the case care 
fully, his attendants would have seen that undei 
this treatment the attacks increased in frequency. 
But pre-convictions throw a thick veil over the most 
acute perceptions. 

22* 



IXCESSIVE SEMINAL LOSSES. 



243 



" The ascending douches put an end to the consti* 
pation ; but freedom of faecal evacuation did not 
suffice to cure the disease. The seminal dis- 
charges, during the passage of faeces, diminished, 
indeed, or perhaps entirely ceased, but the patient's 
urine remained thick and muddy, and his erections 
were incomplete. The application of ice and of 
the nitrate of silver, and the use of sulphurous 
waters, were not sufficient to effect this cure ; yet 
there could not have existed any organic change in 
his genital organs. We can therefore only attri- 
bute the continuance of the s^n.iral discharge, 
during the emptying of the bladder, to relaxation of 
the ejaculatory canals, produced by their long habit 
of allowing the semen to escape in a passive man- 
ner — showing how necessary it is to put an end to 
the habit as early as possible." 

The next case shows the effects of worms in the 
Rectum, both in producing and keeping up the 
Spermatorrhoea, and also in first leading to Mastur- 
bation, in childhood. 

" M. R , a student of medicine, enjoyed good 

health in his childhood, but about the age of fifteen 
was tormented by frequent and prolonged erections. 
Dne evening, for the relief of the itching, of which 
the extremity of the penis was the seat, he rubbed 
the organ violently between his hands. This led to 
the establishment of masturbation as a habit or 
rather as a passion, the patient practising it some- 
times as often as eight or ten times a day. His 
health by degrees became so altered that one of his 
friends suspected his practices, and told him the 
dangers of his situation. By degrees he corrected 



044 EXCESSIVE SEMINAL LOSSES. 

himself, though not entirely before he had attained 
his twentieth year. On his renouncing masturba 
tion, nocturnal emissions supervened, and often oc- 
curred two or three times i night. They diminished 
after aAime, but without ceasing entirely, and semi- 
nal emissions during defecation and the emission of 
urine were added to them. Thus his health became 
daily more and more disordered for nine years, not- 
withstanding absolute continence, a severe regimen, 
and the use of sedatives, tonics, and anti-spasmodics. 
At length he grew incapable of any mental exer- 
tion. In 1837, he came to Montpellier, at the age 
of twenty-nine, in the following condition :— Ex- 
treme emaciation ; face pale ; appearance stupid 
and confused ; intellect dull ; reasoning powers 
much affected, the patient being incapable of con- 
necting two ideas on the most simple topic of con- 
versation ; loss of memory ; constant headache re- 
ferred to the forehead and temples, and increased by 
any mental excitement, being then accompanied by 
nervous tremors, and an almost idiotic state ; sleep 
broken and unrefreshing ; constant sighing ; fre- 
quent attacks of congestion of the head, especially 
at night ; violent noise in the ears resembling the 
sound of a waterfall ; vertigo ; stunning sensations 
giving rise to a constant fear of apoplexy ; timidity 
carried to a ridiculous extent ; panics of fear even 
during the day ; character gloomy, taciturn, rest- 
less, and irritable ; horror of the least noise, and of 
all society ; irresistible restlessness ; great weak- 
ness ; abundant sweats after very slight exertion ; 
almost constant coryza ; frequent, dry and hard 
cough ; pains in the base of the chest, the region of 
the heart, and along the spinal column ; appetite vo- 
racious ; dragging at the pit of the stomach ; difficult 



EXCESSIVE SEMINAL LOSSES* 545 

digestion, accompanied with the development of fla- 
tus ; grinding of the teeth during sleep ; burning ai 
the point of the tongue ; darting pains in the bowels, 
especially in the rectum ; obstinate constipation al- 
ternating with violent attacks of diarrhoea ; stools 
containing much mucus, and sometimes streaked 
with blood ; periodical pains at the margin of the 
anus, in the perineum, penis, and testicles ; urine 
passed in large quantities, and very frequently, 
always throwing down a whitish, thick, and very 
abundant deposit, involuntary emissions during de- 
fecation, both when constipated and relaxed ; fre- 
quent and prolonged erections by day as well as by 
night ; with coastant presence of erotic ideas. 

" On sounding this patient, [ found the urethra 
very sensitive, especially towards the neck of the 
bladder, and 1 consequently thought that the noc- 
turnal and diurnal pollutions were kept up by a 
state of irritation arising from masturbation. I 
therefore proposed cauterization. This was per- 
formed on the following day, and produced the usual 
immediate effects, but its curative effects did not take 
place as I had anticipated. I then directed the pa- 
tient to notice his faeces, and a few days afterwards 
he told me that he had observed numerous little 
worms passed in his stools. I now ordered enemata 
of cold water, and salt and water, which, however, 
produced only a momentary effect — probably be- 
cause the ascarides inhabited the upper part of the 
intestine. A few doses of calomel however, caused 
them to disappear without returning ; and from this 
moment the involuntary diurnal emissions ceased 
entirely, the nocturual emissions became more and 
more rare, and the patient's re-establishment pro- 
gressed very rapidly, M. R returned to hi§ 



246 EXCESSIVE SEMINAL LOSSES. 

itudies with ardor, and long afterwards all functions 
were perfectly well performed. 

" It appears evident that the irritation caused b^ 
the ascarides, in the rectum first led this patient to 
practise masturbation, and afterwards kept up invo- 
luntary seminal discharges. I did not discover this 
at first, because the history of his case, sent me by 
the patierrt, was so long, and was characterized by 
such disorder and want of clearness, that I was 
unable to arrive at any satisfactory conclusions from 
such a chaos ; his answers were still more vague 
and unconnected, so that my attention had been 
chiefly attracted to the state of his intellect, and the 
abuses he had committed. But after seeing the 
little success of cauterization, and again reading 
his notes, I paid more attention to the circumstances 
attending the commencement of his practising mas- 
turbation, and I noticed several symptoms to which 
I had not before attached importance, such as grind. 
ing of the teeth during sleep ; burning- pain in the 
point of the tongue ; pain in the rectum, and at the 
margin of the anus ; the stools always containing 
mucus, and sometimes being streaked with blood ; 
and especially the frequency and duration of the 
erections, and the constant presence of erotic ideas/' 

I have met with many instances in which great 
irritation of the Genitals was produced by worms, 
and l K have no doubt but that the tendency to Mad. 
turbation is often caused by them, in both sexe3 t 
a fact that parents should bear in mind. 

That the tendency to Spermatorrhoea is often 
hereditary, I have no doubt, and I have met with 
iome remarkable proofs of it in the course of my 
practice, but as they are not of a nature to be 



EXCESSIVE SEMINAL LOSSES. 247 

readily understood by t.iose not accustomed to ob- 
serve them it is not necessary to givo the details* I 
nave known many instances of brothers, in one 
case of Jive , all of whom suffered from excessive in- 
voluntary emissions, at the same age, and without 
being addicted to abuses of any kind. 

Peculiar congenital predispositions often exist, 
particularly in those of a nervous character, though 
few practitioners are aware of their real extent. 
M. Laliemand gives some excellent illustrations of 
these kind of cases, and I can select many such 
from my own note- book. The following will, how- 
ever, be sufficient. 

" In general such patients were of sickly con- 
stitution and more or less marked nervous tempera- 
ment, they had been delicate from childhood, and 
6ubject to various spasmodic disorders. Some of 
them presented involuntary twitching of the mus. 
cle-s of the face, hesitation of the speech, &c. ; their 
imagination was active, and their moral and physi- 
cal sensibility very acute. The^ were very rest, 
less and bore contradiction, or mental excitement, 
badly. 

" In childhood they presented local symptoms, 
which indicated peculiar susceptibility of the 
urinary organs, every impression of fear or anxiety 
showing itself in this direction. What would have 
produced shuddering or palpitation in other chil- 
dren, in them caused a secretion of clear watery 
urine, which they were obliged to discharge fre- 
quently ; a sense of constriction of the hypogas- 
uium, and a sense of titillation generally accom- 
panied its discharge. This condition of the urinary 
•rgans, continued nure or less severe in all the 



gig «XC<ESSIVE SEMINAL LOSSES. 

eases until after puberty, when it became joined 
with other symptoms. One of these patients on© 
day experienced at the age of sixteen a fit of irrita- 
bility and impatience, which, however, he succeed- 
ed in repressing ; and he then felt sudden and 
impetuous desire of micturition : whilst emptying 
his bladder he perceived a large quantity of pure 
semen discharged with the last drops of urine. This 
occurrence was the forerunner of nocturnal and 
diurnal pollutions, which at the age of twenty- 
seven, had entirely ruined his health. Another, at 
the moment of competition for a college prize, was 
unable to find an expression he wanted : at the same 
time he felt a want to make water, which he re- 
sisted by firmly crossing his legs; but his impa- 
tience increased and he shortly experienced an 
abundant emission without either erection or plea- 
sure. A third patient suffered in the same way 
under similar circumstances ; he saw the moment 
approach for sending in his thesis, the more he en- 
deavored to hurry the less freely his expressions? 
flowed; at length, o» hearing the clock strike, he 
suffered from so great mental disorder that he nearly 
farnted ; at this moment emission took place. A 
/ourth having mounted on a high gutter of a house 
to take some sparrows' nests, looked down into the 
court below, and was suddenly seized with such 
terror that he fainted ; on recovering and escaping 
from his dangerous situation he found that he had 
had an abundant seminal emission. The same cir> 
cumstance occurred to a fifth, who, in descending a 
ladder missed his footing and fell. Another patient 
told me that if he looked down from a height, or 
wxiy fancied himself on the brink of a precipice, ho 
felt a sense of contraction in the genital organs. 



EXCESSIVE SEMINAL LOSSES. 249 

wnieh passed rapidly to the base of the penis, and 
ended by causing emission. The motion of a swing 
produced the sam a effects in a seventh. 

" Almost all these excitable, persons were exposeti 
to erection, and e^en to pollutions whenever they 
rode on horseback. 

" Although all these involuntary discharges were 
caused by extraordinary circumstances, I should 
not have paid much attention to them if they had 
not been followed by nocturnal and diurnal pollu- 
tions, which the most trifling circumstance rendered 
very serious. The disease, however, did not always 
put on a serious aspect immediately after these sin- 
gular accidents ; very often, indeed, it only injured 
the patient's health long afterwards ; but as it« 
gravity could not be explained by any c^^asional 
cause, I feel myself compelled to admit the exis- 
tence of a congenital increased nervous suscepti- 
bility of the genito-urinary organs. Every thing 
indicates, in fact, that the organs of these patients 
were rather excitable than weak and relaxed ; and 
♦his condition was congenital becausp manifested 
from the earliest infancy. This excessive sensi- 
bility of the genital organs is, however, not alwa\« 
preceded by a similar condition of the urinary ap 
paratus. 

" In all these cases, tonics and excitants alwaya 
produced bad effects ; proving that the genital 
organs were not suffering from atony or weakness." 

fYMPTOMS B7 WHICH THE SPERMATORBHCEA MAY BK 
DETECTED. 

In addition to the effects already enumerated, 
ihere »re several other symptoms of Spermatorrhea 



250 EXCE&3IVE SEMINAL LOSSES. 

that &re very useful to note, for the use both of the 
physician and patient. Some of them are such as 
are observed in various diseases, but others are pe- 
culiar to this affection, and enable us to ascertain 
its existence when positive evidence is not to be ob 
tained. 

Many persons suppose that in all cases the in- 
voluntary discharge of semen is indicative of dis. 
ease, and it alarms them very much. In many 
cases, however, the emissions occur in those that 
are continent, from excess of semen, and may then 
be beneficial rather than hurtful. This is often the 
case when they are in great quantity, though this 
peculiarity is apt to alarm, from the idea that the 
injury is proportionate to the quantity lost. Mr. 
Lallemand remarks that : 

" The most abundant nocturnal pollutions are far 
from being always the most hurtful. When they 
arise from true spermatic plethora, they often re 
lieve erotic excitement, with its accompanying agi 
tation, anxiety, uneasiness, and indefinable trouble 
in all the functions. They are followed by a gene- 
ral feeling of comfort ; the head becomes clearer, 
the ideas more rapid, and the motions more nimble ; 
there is more inclination to amusement, and to 
every kind of occupation. I admit that nocturnal 
pollutions do not often produce such good effects, 
but then they are not often the result of spermatia 
plethora ; they may too, easily lose their character, 
so that habit alone tends to make them more and 
more frequent. In the greater number of cases, 
however, these evacuations are of very little im- 
portance. 

" But thi* state of excitement is too violent to 
23 



EXCESSIVE* SEHINAu LOSSES. 251 

last long : by degrees the organs become fatigued. 
Deprived of their natural functions, and con. 
ftequently, being unstrengthened by regular exer. 
cise, they may at last fall into a state of atony, of 
the seminal vesicles may preserve the habit of con- 
tracting, under the influence of slight or indirect 
excitement. The evacuations now produce effects 
quite opposite to those experienced in the beginning. 
There are on waking, feelings of discontent, idle- 
ness, weight in the head, disorder in the ideas, &c, 
but this condition passes off in the course of the day, 
and the patient is quite well on the following morn- 
ing, if no further emission take place. After a 
time, these effects become more serious and lasting, 
and two or three days are required to remove them 
completely. There is, however, no disease as yet, 
Oecause the economy is not as yet permanently dis- 
ordered, but there is a degree of instability in the 
patient's health, a valetudinary condition, the pro- 
gress of which it is necessary to arrest." 

Lascivious dreams are usually considered only as 
causes of nocturnal emissions, but they are in fact 
produced, in most instances, by the excitement ex- 
isting primarily in the Genital Organs, and are 
therefore symptoms of excessive vigor, in the first 
stages, rather than of weakness, or disease. So 
long as they only present pleasant images, without 
any disagreeable sensations, and are not followed by 
lassitude and weakness in the morning, they are not 
indicative of anything serious. But when these 
dreams are filled with filthy and disgusting ideas, 
horrible sensations, and night-mare, during which 
the discharge occurs without any pleasurable feel- 
ing, and is followed by distress next morning, they 



252 EXCESSIVE SEMINAL LOSSES. 

are sure signs of disease. As a general rule th« 
danger commences when the pleasurable accompa- 
niments of the dream begin to fail, and when the 
discharge occurs without any sensations at all, 01 
with disagreeable ones, it is truly a bad symptom. 

Diurnal, or daily, losses of semen are in general 
worse symptoms than nightly ones, and they are 
especially bad if they occur spontaneously or from 
mere exercise. When they occur during the 
movement of the bowels, or while urinating, though 
they are usually indicative of a diseased state of 
the parts, yet they may be made much worse by 
constipation, gravel, and other affections of the 
neighboring organs, a fact that should be borne in 
mind when estimating their value. From not 
naving these circumstances explained to them 
many persons lose semen in this way, perhaps for 
years, without knowing anything about it. When 
their attention is directed to the occurrence, how- 
ever, it will generally be easy for them to detect tfc* 
escape, whether it occur with the urine or aftei de- 
fecation. When with the urine there is a sensation 
as if something heavier than usual is passing, which 
creates a slight pricking or tingling sensation, and 
the urine looks thick and clbudy, with globules 
floating in it like half-dissolved gum-arabic. If the 
escape occurs during the movement of the bowels a 
similar sensation is felt, and th* end of the penis 
will be found covered with a glutinous fluid, which 
sometimes drops, but rarely runs away. More fre. 
quently the flow does not take place till the move- 
ment of the bowels is over, and perhaps not till the 
patient is dressing himself; it then comes suddenly, 
the whole quantity being discharged at once. This 
is preceded bv a kind of shock, felt in the perineum 



EXCESSIVE SEMINAL LOSSES. 25H 

a»r( neck of the bladder, and sometimes wiih slight 
erections, accompanied by pleasure. In some cases 
a discharge occurs in this way of simple mucus, 
mixed with the fluids of the Prostate and Vesicles, 
and this should be suspected when losses of this 
kind are complained of, till a proper examination 
is made. These mucous discharges, however, 
never consist of more than a single drop, or two 
at most, and are quite thin and transparent, while the 
seminal emission is both thicker and more opaque,, 
and in greater quantity. If the patient empties 
his bladder before going to stool 'the appearance will 
be more obvious, and if he observes a thicK gummjr 
discharge, during or after the passage of the bowels,, 
there can be no mistake as to its being real semen. 
It is more difficult to ascertain tb 3 presence of the 
semen when it escapes in the urine, because it is so 
diluted, and undergoes several changes, I shall there* 
fore be particular to give all the indications that can* 
be relied upon in such cases. — In the first place it 
must be recollected that the semen never escapes 
during the first flow of the urine, but always with 
the last few drops, or even after the bladder is fully 
emptied. There is in general the peculiar sensation 
already described, with siigiit pleasurable feeling, 
and a few spasmodic jerks of the neck of the blad- 
der, by which the expulsion of the last drops is ef- 
fected. — This is quite sufficient to distinguish sper- 
matorrhoea from gleet, or a discharge from urethia. 
inflammation, as in such cases the mucus always 
escapes with the first flow of urine, and is not ac 
companied by any of the sensations above described. 
The appearance of the urine also, if carefully noted, 
will nearly always be sufficient to indicate he na 
tuns of the affection. The presence of the semer 



254 EXCESSIVE SEMINAL LOSSES. 

is nearly always indicated oy the gum-like globules 
mentioned above, and also by numerous little irre- 
gularly-formed granules, somewhat like bran, which 
settle to the bottom of the vessel. These granules 
are soft, an 3 fall down to the bottom of the vessel 
before the urine cools, without ever adhering to the 
sides, which distinguishes them from gravel. In 
short no other discharge furnishes anything like these 
granules, so that their presence is a sure proof of 
involuntary emission. 

Sometimes patients have peculiar sensa-ions in 
other parts of the body whenever a pollution occurs 
thus some experience a pain in the nipple or bac* 
of the nec«, some a cold chill and shivering, while 
others feel a burning heat round the anus, and after 
these sensations they always observe the rlocculent 
deposit in the urine. 

As the disease progresses the bran-like granules 
become fewer in number, and smaller, and at last 
almost totally disappear, so that the existence of the 
spermatorrhoea has to be ascertained by other symp- 
toms. The urine is still clouded with the gum-like 
deposit, and there settles to the bottom a number 
of little brilliant points, something similar to what 
is seen in newly-boiled mush. Like the granules 
they are soft, and do not adhere to the vessel. — 
These different appearances result from the altered 
condition of the semen, which, as the disease pro 
gresses gradually loses its usual character, am* 
eventually becomes totally changed. 

I have known patients much engaged in study in 
whom involuntary emissions occurred in a verv sin< 
gular manner. They would experience, while sit 
ting perfectly still, a sensation in the perineum or 
at the root of the penis, as if the parts wc re sud 
23* 



EXCESSIVE SEMINAL L0SSLS. 2o5 

denly drawn togethei and pinched. So distinct and 
strong is tiiis felt sometimes that the person imme- 
diately starts and compresses the part in his hands. 
The sensation lasts but a short t'kne, however, and 
nothing further takes place, if he remains still, but 
immediately he begins to exercise, or the next time 
he urinates, a quantity of semen escapes. This 
shows that the emission really occurs when the sen- 
sation is felt, but there is no action of the muscles 
10 expel it till the parts are in some way made to 
*ct for other purposes. 

IMPOTENCE FROM INVOLUNTARY EMISSION. 

Whenever impotence is not obviously owing to 
any of the causes enumerated in the previous part 
of this work, it is nearly always the result of pol- 
lution, and perhaps as a general rule it arises from 
this cause oftener than from any other. There are 
two modes in which it may be brought about by 
this cause, first by the destruction of the powers of 
the Genital Organs, from general weakness, and 
secondly from a peculiar Change which it leads to 
in the semen. For erection to take place there is 
always needed the presence of healthy semen in 
the seminal vesicles, and if this does not exist of 
course no erection can occur, and impotence ne@es- 
sarily follows. Any cause, therefore, which impairs 
the vitality and health of the semen must lead to 
impotence, and no cause does so more surely than 
iong-continued involuntary emissions. 

The mode in which involuntary emission, or 
Spermatorrhoea, from any cause, affects the semen, 
appears to be this. It has already been explained 
iow the Seminal Animalcules are produced from 



256 EXCESSIVE SEMINAL LOSSES. 

certain little grains or vesicles, found first in tft* 
semen of the Testicles, which break open and allo^a 
the Animalcules to escape. 

Now these little beings are the most essentia> 
parts of the seminal fluid, and without them it car 
neither act properly on the male organs nor impreg 
Date the female ovum. If, therefore, their develop, 
ment is prevented Impotence and Sterility must re- 
sult, and this is what really follows from Sperma. 
torrhoea. It is necessary for the semen to remain a 
certain time in the Vas Deferens and Vesicles, 
after it leaves the Testicles, so that the granules 
may burst and the Zoospermes become perfect, and 
if it be expelled from the body too soon this has not 
time to occur. The precise time requisite for the 
semen to remain in the body, after being formed by 
the Testes, is not known, and it probably varies, 
both with different individuals and also under differ 
ent circumstances in the same person. For a time 
the organs can, af healthy, perfect the semen rapidly, 
so lhat a man can expel it very frequently, and yet 
have it healthy, but if this excess is continued too 
long the power of the parts gradually weakens and 
the semen is at ength discharged imperfect. This 
is precisely what fellows eventually, both from 
licentious excess and from involuntary emissions ; 
the semen has not been allowed to remain in the 
organs sufficiently long, and when it is expelled no 
animalcules are found in it, but only the granules 
fr©m which they would have been developed had it 
remained. These are what are seen in the urine, 
in cases of long-continued involuntary emission, like 
little shining points, and probably also the bran-lika 
grains, observed at an earlier period, are the gran, 
ules in an undeveloped state. In many cases oi 



EXCESSIVE SEMINAL LOSSES. 257 

long .continued Spermatorrhoea, both from ext/es* 
and involuntary, the change is still more decided, 
so that the semen is merely like thin gum-water, and 
utterly incapable either of stimulating erection 01 
of impregnating. — This is the true explanation why 
those who are exhausted by excesses, and those who 
have long suffered from involuntary emissions, De- 
come impotent and sterile, and it shows us what is 
really needed to effect a cure. If we can arrest the 
discharge, and restore a certain degree of tone and 
vigor to the organs, the semen may be again re- 
tained sufficiently long, and may become perfect, so 
that the power of erection and impregnating may 
be again enjoyed. The chances of this are les- 
sened, however, in proportion to the time the flow has 
continued, and at a certain stage all our efforts are 
fruitless. I have, however, known some remarkable 
instances of restoration, even under the most un- 
promising circumstances. In one instance a man 
aged forty-seven came to consult me, who had been 
perfectly impotent for nine years, during, which he 
had not experienced the slightest manifestation of 
sexual power, nor scarcely ever been free from a 
discharge, which, however, was almost like water. 
According to his own statement this unfortunate 
condition was owing to former licentiousness, his 
indulgence having been excessive till the wretched 
state of his general health, and finally his complete 
loss of power, compelled him to abstain. I was' 
obliged to say to him that the changes of restoration 
were so small as scarcely to be worth calculating 
upon, and that I should not be justified in giving 
him any hopes at all. He wa s so exceedingly anx- 
ious, however, and pressed me so earnestly to take 
hioi under my charge that I did so, though with 



258 EXCESSIVE SEMINAL LOSSES. 

considerable reluctance, and with great misgiving, 
Fortunately he was a man of wealth, and leisure, 
and disposed to follow out implicitly all the direc- 
tions given him. — The particular plan of treatment 
that was followed is not necessary to be describe* 
here, as I shall speak upon it generally further on 
but the result is stated as an instance of what car 
be sometimes accomplished even under very unpro. 
raising circumstances. I had this patient under my 
constant care for fifteen months, at the end of which 
time his sexual powers were sufficiently restored to 
allow of his marrying, which he did and became a 
father. It took three months to stop the constant 
emission, and after that six months more elapsed 
before animalcules began to appear in the semen, 
after which his improvement was very decided, 
though in all probability his powers will never be 
equal to what they were before, nor will they endure 
so long as they otherwise would have done. 

In cases where impotence is only partial or has 
existed only for a short time, proper treatment can 
nearly always effect a decided improvement. Every 
moment, however, is precious in such cases, and no 
man should feel indifferent even to a slight falling 
off in his sexual vigor, if it continues, and if he de- 
sires to preserve his powers. A short delay may 
lose all chance of restoration ; and it should be re- 
collected also that, in most instances, the derange- 
ments which cause impotence have often serioui 
effects, and generally so impair the health as to en- 
danger life. 

I am almost daily seeing instances of weakened 
power from Spermat rrhcea, and though I am com- 

Exiled to admit that u some of them relief is hope. 
as, vet in many the result of the treat nent is mosl 



EXCESSIVE SEMINAL LOSSES. 259 

aatisfactory, and highly encouraging to those simi. 
larly affected. There is occasionally one result of 
Spermatorrhoea different from any of these above 
described, and which is sometimes of considerable 
importance, both socially and as a point in medical 
jurisprudence. Some patients, of vigorous habits 
of body will continue to. secrete the semen, and 
retain their powers of association, e>en after the 
disease has existed for a considerable time. They 
may^ however, be sterile, though not altogether im- 
potent; and the fault of barrenness is ascribed to the 
female, because no defect exists, so far as can be 
seen, in the husband. These men are able to asso- 
ciate, as before remarked, and to emit semen, but 
on examining that fluid none of the animalcules are 
formed perfect, being either all dead or half formed. 
The semen in short is perfect enough to stimulate 
the male organs, to a certain extent, but not perfect 
enough to impregnate the female ovum, and I have 
no doubt but that many cases of supposed barren- 
ness in females are owing merely to a defect of this 
kind in their husbands. I have known men affected 
in this way who were remarkably active and vigor- 
ous, and in whom no imperfection whatever could 
be suspected till pointed out by the microscope. — M. 
Lallemand was the first author who alluded to this 
important subject, and his remarks are well worth 
reading : — 

" Infecundity. — Impotence is an absolute cause of 
tafecundity because it prevents the conditions neces. 
sary to fecundation from taking place ; but although 
tire act of coitus may be accomplished, it does not 
follow that the person should always be able to per- 
petuate his species. Stricture of the urethra may 



2o0 EXCESSIVE SEMINAL LOSSES. 

prove an obstacle to the discharge of seminal fluid ; 
or the fluid may be directed towards the bladder o* 
the parietes of the urethra, by deviation of the ori- 
fices of the ejaculatory ducts. The secretion maj 
be altered in its nature, it may only contain imper- 
fect spermatozoa, &c. A man may, therefore, b© 
unfruitful witout being impotent. On the other 
hand, I have met with many patients suffering from 
diurnal pollutions who had children exactly resem- 
bling them, even during the duration of their dis- 
ease. Indeed, I have seen several cases in which 
the disposition to involuntary discharges was here- 
ditary, and they affected both father and son. The 
disease is, however, essentially irregular in its pro- 
gress ; it may continue long without doing serious 
injury to the health, long remissions may be expe- 
rienced, or even a perfect cessation of the complaint 
for a longer or shorter time ; we may easily con- 
ceive, therefore, that in the first degree, or during 
one of the periods of remission, fecundation may 
take place. When the disease is further advanced, 
however, many causes concur to render coitus un- 
fruitful. Ejaculation is weak and precipitate, so 
th»t the seminal fluid cannot be thrown into the 
cavity of the uterus ; it is not sufficient in order to 
fecundate, simply to spread the fluid over the va- 
gina ; it must be projected with sufficient force to 
pass through the orifice of the uterine neck. Be. 
sides, in these cases the erections, even when the) 
permit sexual intercourse, are incomplete and of 
very short duration, emission takes place without 
energy and very soon ; so that during such rapid 
acts the uterus and Fallopian tubes have not suffi. 
cient time to experience the excitement necessary to 
carry the semen to its destination, even when k 



EXCESSIVE SEMINAL LOSSES. %fi\ 

posses the neck of the uterus. The semen itself 
also undergoes great changes, to which perhaps 
the loss of the fecundating power is chiefly 
attributable. Microscopic researches have elu- 
cidated this formerly obscure subject ; I have 
discovered, for instance, that the spermatozoa 
undergo changes similar to those of the fluid 
which serves as their vehicle ; these changes 
are exceedingly important, and are owing to 
defective formation. Spermatozoa may be met 
with in a less thick and less opaque fluid than natu- 
ral, for they are not produced by the^same parts, or 
in the same manner ; but when the secretion is per- 
fectly thin and watery, the functions are- so seriously 
affected that the animalcules are altered ; they are 
less developed, less opaque, and less active than na- 
tural ; indeed, they are so transparent that peculiar 
precautions are necessary in order to make sure of 
seeing them ; their motions are weak, slow, and cease 
very soon ; and they rapidly undergo decomposition. 
All these characteristics show how much their texture 
is relaxed, and how imperfectly they are organized. 
" It is evident that the least arrest of development 
in the spermatozoa must prove an insurmountable 
obstacle to fecundation, even if the only function of 
the animalcules be lo carry the liquor seminis to the * 
ovum. When, however, their imperfect development 
only arises from a too rapid formation it may soon 
be obviated. It suffices that the involuntary dis-* 
charges should cease for a few days only, in conse- 
quence of some accidental cause, or of one of the 
spontaneous changes of this extraordinary disease, 
in order for the desires to become more lively, the 
erections more energetic and prolonged, and for the 
function to be accomplished in a natural manner. 



262 EXCESSIVE SEMINA1 LOSSES. 

Fecundation is, therefore, possible, as I have pre 
riously stated, during the whole duration of one of 
these intermissions. 

"This is not the case when the spermatozoa are 
malformed, rudimentary, more or less deprived of 
tail, &c, for these changes only take place whea 
there is a serious alteration in the structure of the 
testicles. I have taken every opportunity of dis- 
secting the testicles altered in these cases, and I 
have always found the secreting structures paler, 
drier, and denser than natural, and the cellular tis- 
sue more resisting, and with difficulty allowing the 
secreting ducts to be separated one from another. 
Sometimes half or two-thirds of the testicle were 
transformed into a fibrous or fibro-cartilaginous tis- 
sue mixed in a few cases with tuberculous matter. 
It is the same also in the epididymis, where I have 
even seen traces of ossific deposit in the midst of 
cartilaginous indurations. These changes, caused 
by previous inflammation, perfectly explain why 
the development of the spermatozoa can no longer 
proceed normally. 

" Although in such cases the secretion of semen 
may be more or less diminished, pollutions may still 
be present if the seminal vesicles have shared the 

• inflammation by which the testicles have been af. 
fected, as happens in most cases of orchitis arising 
from blennoi;rhagia. I have at present a patient 

* who presents a remarkable example of both thes^ 

ffects arising from this cause : he is now forty-one 
years of age, and had biennorrhagia followed by 
inflammation of both testicles at twenty-five. Soon 
after his recovery, he married but has never had 
children, although the act has been performed regu» 
larly if not frequently. He became subject to ^r* 
24 



EXCESSIVE SEMINAL LOSSES. 203 

ttimal, and sometimes flKurnal pollutions, which in- 
creased by degrees. His health became disordered, 
*>ut coitus was still possible. The semen passed, al- 
though it presented its characteristic odor but never 
showed under the microscope other than very small 
and brilliant globules, without any appearance of 
tail, but easily distinguishable from globules of mu- 
cus, the dimensions of which are five or six times 
larger. The epididymis of both sides is volumi- 
nous and irregular. One testicle is adherent to the 
skin of the scrotum, and the other appears smaller 
than natural. 

" Malformation of the spermatozoa, therefore, 
arises from deep-seated changes in the tissues of the 
testicles, changes which do not permit the animal- 
cules to assume their normal form, and, therefore, 
render infecundity permanent. 

" To sum up then. Involuntary seminal dis- 
charges may oppose fecundation previously to ac- 
tually producing impotence, by diminishing the 
energy of all the phenomena that concur to the ac- 
complishment of the act, and by preventing the 
complete development of the spermatozoa, as well 
as the elaboration of the fluid which acts as the 
vehicle for them. 

<: These conditions may be rapidly altered by the 
simple diminution of the involuntary discharges, 
and fecundation may again become possible. 

" This cannot be the case when infecundity de- 
pends on malformation of the spermatozoa — such 
malformation arising from permanent alteration in 
the organs that supply them." 

Microscopic Examination of the Sem,en, — This if 
a subject of great interest to every one, and of im- 



264 BXnESSIVE :>EMINAL LOSSES, 

mense importance to the phymcan and patient. The 
proper mode of pursuing such examinations has been 
so well explained by M. Lallemand that 1 cannot 
do better than copy his remarks, to which T will add 
here that with good instruments there is nn difficulty 
whatever in the process. 

"Microscopic Examinution. — Since the discovery 
3f the spermatozoa, their presence in the seminal fluid 
has attracted the attention of all who have sought 
means of distinguishing it from other fluids. Mi- 
croscopic examination of the spermatozoa, however, 
not only requires an excellent instrument, but cer- 
tain precautions which may be dispensed with in the 
investigation of coarser objects. As the spermatic 
animalcules can be only seen by means of trans- 
mitted light, it is necessary that the glass on which 
the fluid to be examined is placed should be of uni- 
form thickness, and without bubbles or striae. The 
fluid to be examined should be covered by another 
layer of extremely thin glass made on purpose, and 
not by portions of mica, which are seldom free from 
cracks, and never perfectly transparent. This thin 
layer of glass is indispensable in order as much as 
possible to diminish the thickness of the fluid, to 
render it perfectly uniform, to hinder evaporation 
and prevent the object glass from being soiled by it. 
A single drop of fluid suffices for a complete ob* 
servatiou, a larger quantity always proving incon. 
venient. The little glass that covers the liquid muaS 
be firmly pressed down so as o spread it out, arrest 
the currents that take place in it, and drive out the 
air bubbles. Although the glasses should seem to 
touch each other the spermatozoa move with perfect 
freedom in the space between them, so long as they 



EXCESSIVE SFMINAL LOSSKS. 265 

preserve their energy and evaporation has not pro 
eeeded too far : should such be the case, however, 
a drop of tepid water favors and much prolongs 
their motions. However thin the layer of fluid may 
be, it is impossible to comprehend its whole thick- 
ness at once with a very high power, and it is, there- 
fore, necessary to alter the focus frequently in order 
to be sure that nothing escapes observation. And 
this is especially important in examining a drop of 
fluid obtained from diurnal pollutions, because there 
are frequently only two or three spermatozoa con- 
tained in it. It is also necessary to change the po- 
sition of the reflector frequently, in order to vary 
the direction and intensity of the light. The sper- 
matozoa are often exceedingly transparent in cases 
of disease, and a very bright perpendicular light is 
by no means the best for showing them. Varying 
the density of the fluid under examination, either 
by adding water or by permitting evaporation, is 
also often useful. The semen contains matters fur- 
nished by the seminal vesicles, the prostate and the 
urethra, and when the fluid is too thick these matters 
hide the animalcules. A drop of water applied to 
fhe edge of the covering.glasstpenetrates underneath 
it, and the spermatozoa are more isolated, at the 
same time that their contour is rendered more de- 
fined by the diminution in density of the fluid. On 
the other hand the refractive power of the sperma- 
tozoa differs little from that of the fluid in which 
they are contained, and their thinnest portions are 
traversed by the light without affording any distinct 
images to the eye. In this case there are only seen 
very small ovoid brilliant globules terminated by a 
little point. As soon as the water begins tc pene. 
Irate between the glasses, the rapid motion set up 



266 EXCESSIVE SEMINAL LOSSES. 

prevents the objects from being clearly distinguished ; 
but as soon as rest has been re-established the tails 
of the animalcules appear, and their dimensions seem 
to have increased in consequence of the diminished 
density of the surrounding fluid : water suffices to 
produce this result. It is more sensible, however, 
when a small quantity of alcohol is added : but the 
forms of the animalcules are, after a time, altered 
by this agent ; and it is, therefore, advisable to use 
water only when it is intended to keep the prepa- 
ration. 

" Evaporation sometimes produces not less re- 
markable changes in the seminal fluid. I have 
frequently in cases of spermatorrhoea failed to 
perceive any thing in the fluid under examination 
for half an hour, an hour or more ; then suddenly 
an animalcule has made its appearance ; then a 
dozen, and then perhaps a hundred in the space of 
a few minutes. The following morning, when de- 
siccation has become complete, there are no longer 
any traces of these animalcules, or, at all events, I 
have been only able to distinguish their tails, the 
other parts of them being fixed in the dried up 
mucus. The absorption of a drop of water has 
restored the phenomena observed the night before. 

;< These phenomena are easily explained ; when 
the refractive power of the spermatozoa is the same 
as that of the circumambient liquid, the light tra- 
verses the whole in the same manner, and the mas* 
appears homogeneous. But evaporation acts more 
rapidly on the liquid than on the organized bodies 
contained in it ; and when the difference of density 
alters the refractive power the forms of the sperma- 
tozoa are momentarily defined because they have 
become more transparent than the remainder of th« 
24* 



EXCESSIVE SEMINAL LOSSES. 267 

fluid. When desiccation is complete, however, the 
animalcules again disappear, because the refractive 
powers of mucus and dried animalcules are again 
equal. The absorption of a small quantity of 
water re-produces the same phenomena, which may- 
be repeated almost indefinitely, since the matter 
confined between the two layers of glass undergoes 
no other appreciable alteration. 

" In order to be enabled to discover spermatozoa 
quickly in cases of disease, it is necessary that 
they should be wed studied in healthy cases. This 
may be accomplisned in the following manner : — - 
After coitus there always remains a sufficient 
quantity of seminal fluid in the urethra to serve for 
precise and complete microscopical examination. 
This may be obtained by pressing the canal shortly 
after the act, and receiving the drop of fluid from 
the orifice of the glans on a plate of glass. In this 
drop of fluid thousands of amimalcules may be 
seen, agitating themselves like so many tadpoles in 
a pool of stagnant water, only that the tails of the 
spermatozoa are relatively longer and thinner, and 
that the head presents a brilliant point near its in- 
sertion. Generally the number of these amimalcu- 
les prevents them from being easily examined, and 
it becomes necessary to spread them out by intro- 
ducing a small quantity of water, and pressing 
firmly dawn the thin glass that covers them ; they 
are found most separated on the edges of the fluid. 
If the water added he of the temperature of the 
body their motions become free and lively, and con- 
tinue so until cooling and evaporation affect them. 
By avoiding these two causes of disturbance the 
motions of the spermatozoa may be kept up during 
oev< ral hours. 



568 EXCESSIVE SEMINAL LOSSJBS. 

11 However long a time may have elapsed aftei 
coitus there are always spermatozoa in the urethra* 
provided they have not been washed away by the 
passage of urine. Although the point of the glans 
may be quite dry, and pressure along the wiole 
length of the canal may not produce the least 
dampness, still on passing urine livkig animalcule* 
may be obtained from the first drop which escapes. 
This may be received on the glass, and is perhaps 
the easiest and most natural mode of obtaining 
spermatozoa for microscopic examination. 

" It is evident that the same experiments may be 
applied in the case of nocturnal pollutions as well 
as in all other seminal discharges in whatever man- 
ner they may occur. But many errors may arise 
from commencing with cases of disease, for it is 
during perfect health that the spermatozoa are most 
active, and their development most complete, and 
they live longer after coitus than after any other 
kind of seminal discharge. 

" Having thus described the means by which my 
microscopic observations may be verified, I proceed 
to show their results. 

" Spermatozoa. — Out of thirty-three bodies which 
I have examined for spermatozoa, I only twice found 
these animalcules in the testicles. In one of these 
cases the patient died from the effects of a fall on 
the day following it ; in the other acute gastroen- 
teritis was the cause of death. The seminal fluid 
was most abundant, and contained the greatest 
number of animalcules in the former case. The 
other patients died of chronic diseases after pro- 
tracted sufferings. One only among them died on 
the second day of acute peritonitis, but he was 
seventy- three years of age. In thirty-one of these 



EXCESSIVE SEMINAL LOSSES. 269 

patients the testicies were soft, pale, and as ihougk 
fathered. On section they presented a grayish as- 
pect, and did not furnish any liquid ; the structure 
was almost dry, and contained a few blood-vessels ; 
the secreting canals were easily seperated from one 
another and could be spread out under the micro- 
scope without breaking. They presented very bril- 
liant granules, all of exactly the same appearance, 
about the size of the head of a spermatozoon, tea 
♦irnes smaller than corpuscles of blood or mucus, 
and differing from the latter by the constancy and 
regularity of their form. These brilliant bodies, 
which occupied the place of the spermatozoa, are 
worthy of notice, because they offer considerable 
analogy to the appearances presented by the semen 
under certain circumstances. 

"'In order to observe what is present in the se- 
creting canals of the testicle it is necessary to 
spread out a portion ?£ one of them under the mi- 
croscope, after having examined it dry to allow a 
drop of water to penetrate between the two glasses, 
and to follow the changes which take place ; then 
to press down the glass so as to flatten the parietes 
of the canal, rupture it, and pres-s out a portion 01 
its contents ; lastly, these must be examined again 
when desiccation is complete, for the spermarozoa 
found in the canals are then best seen. 

"In the epididymis 1 have never found sperma- 
tozoa, except in the two cases in which they were 
also found in the testicles. In all the others I met 
with these animalcules only in the vas deferens or 
seminal vesicles. There were no animalcules at aif 
to be found in the patient who died at the age c* 
seventy-three. It has always seemed to me that 
the animalcules were less numerous in proportion as 



270 EXCESSIVE SEMINAL LOSSES. 

the patients had suffered long ; and in extreme case* 
I have generally found them only in the seminal 
vesicles. The fewer the spermatozoa the more dif- 
ficult were they of detection on account of their 
extreme transparency. In some cases I have only 
suddenly discovered them after examining for an 
hour or two, the liquid having previously appeared 
quite homogeneous. The dimensions were the 
same as those of the best developed animalcules, 
but they were pale throughput their whole extent, 
and more transparent than the surrounding fluid. 
Complete desiccation often caused them to disappear 
altogether ; but the same phenomena could be re- 
produced by the absorption of a small quantity of 
water. 

" In cases of phthisis, caries of the vertebras, 
white swelling, &c, I have had great difficulty in 
distinguishing the animalcules, probably because 
these diseases do not cause death for a long time. 

"I have almost always found in the seminal ve- 
sicles, especially at the bottom of any depression, a 
thick, grumous brilliant matter, varying in its aspect 
and color, but considerably resembling thick paste, 
and more or less transparent ; with a high power 
the granules of this matter appear large, irregular, 
more or less opaque, and without any constant 
shape. They are evidently the products of the in- 
ternal membrane of the vesicles, for they are found 
with similar characters in the accessory vesicles 
of the hedgehog, rat, &c, which never contain 
seminal animalcules, and do not communicate 
directly with the vasa deferentia, which, again, never 
contain any .similar substance. This matter is, 
therefore, analogous to that secreted by the prostatic 
tbDicles, Oowper's glands, &c. Its functions ar' 



EXCESSIVE SEMINAR LOSSES. 271 

the same, and for many reasons it merits special at* 
tention. 

" The secretion of semen dii/iimshes in all seri- 
ous diseases, and seminal evacuations become very 
rare, especially towards the last. It is not, there- 
fore, astonishing that the products of the mucous 
membrane predominate in such patients over those 
of the testicles, and that such mucus should become 
more consistent during its long residence in the de- 
pressions of the vesicles. Hence, the difference 
observable between the semen obtained from the 
vesicles after death, and that which is passed by a 
healthy person. Nevertheless, after long-continued 
continence more or less large granules are often 
seen in the semen of a healthy person, and these 
are perfectly distinct from the fluid part. When 
the emissions are more frequent granules of the 
same kind may be observed, but much smaller, 
These facts are important when applied to explain 
several symptoms of diurnal pollutions. 

" I have already stated that on causing the pa- 
tients to make water in a bath, the semen passed 
may be easily recognised by means of its globules 
which whirl about in the middle of the cloud 
formed towards the close of micturition. From 
what we have just seen it is evident, that these 
globules come from the internal membrane of the 
seminal vesicles. They may be wanting in very 
uevere cases where the semen has no time to acquire 
consistence ; but their presence leaves no doubt as 
io the existence of diurnal pollutions, because they 
can only be furnished by the seminal vesicles. On 
(he other hand, I have invariably found spermatozoa 
in the urine of patients who observed this phenome- 
uon hi the bath. The same remark? hold good 



272 EXClaSIVE SEMINAL LOSSES, 

when applied to the globules which the urine depo. . 
Bits in certain cases of diurnal pollutions, and whicfc 
have been compared by some to grains of bran, by 
others to millet seed, pearl barley, &c, according 
to their size. These globules are perceived as soon 
as the urine is passed, they are roundish, very soft, 
and do not give any sensation when squeezed be- 
tween the finger and thumb ; they cannot, therefore, 
be confounded with urinary salts which are depo- 
sited only when the urine has cooled, have a crys- 
talline form, and give the sensation of a hard body 
to the finger. The vesical mucus also is only depo- 
sited on cooling, and does not furnish brilliant 
granule^. As to pus, its appearance is easily de- 
termined. I have found animalcules whenever 
these globules appeared in the urine ; and. hence it 
is that I have pointed them out as certain signs of 
diurnal Pollutions. 

" I have also noticed that in some cases the urine, 
when held against the light, presents in the middle 
of a flocculent cloud multitudes of quite charac- 
teristic brilliant points. These are smaller, and 
consequently, lighter globules than those which in 
other patients fall to the bottom of the vessel. They 
are neither observed in the mucus of the bladder 
nor in the prostatic fluid, which alone present clouds 
analogous to those of diurnal pollutions. Such 
brilliant points also arise from the seminal vesicles, 
and their presence is, therefore, an indication that 
the urine contains semen. This 'I have often veri- 
fied with the microscope. I should, however, warn 
those who wish to repeat my experiments, that it is 
not in the midst of the flocculent cloud that the 
^oosperms are to be sought, but at the bottom of the 
vessel, to which they soon fall on account of their 



EXCESSIVE SEMINAL LOSSES. 273 

greater specific gravity. The results of all my ob- 
servations on the dead subjects, therefore, convince 
me of the influence of serious and long-continued 
diseases on the functions of the spermatic organs. 
But it is not only in the morbid state that these ex- 
perience great variations ; remarkable ditferencea 
may exist between healthy individuals not only in 
the quanity of semen secreted in a given time, but 
also in the number, appearance and dimensions of 
the spermatozoa. In this respect I have observed 
Hitferences amounting to a third, and, in some cases, 
to half. The comparison is very easily established. 
When the semen is kept under a thin glass as I 
nave before described, it is not in danger of under- 
going any changes, and may be always, by the ad- 
dition of a drop of water, compared with a recent 
specimen. 

" Notwithstanding the facility with which noc- 
turnal pollutions may be recognised, I have sub-" 
mitted the semen collected after them, by individuals 
in various conditions of health, to microscopic 
examination. At first when the evacuations are 
still rare and the semen preserves its ordinary 
characteristics, the animalcules do not present any 
remarkable circumstances in regard to their num. 
ber, dimensions, &c. ; but when the disease has 
reached a sufficient degree of gravity to affect the 
rest of the system the semen becomes more liquid, 
and the spermatic animalcules less developed and 
less lively. Their number, however, does not as 
yet sensibly diminish ; indeed, in some cases, it 
seems increased. As the disorder advances the 
erections diminish, the semen becomes more watery, 
and the animalcules are often a fourth or a third less 
than natural, and the tail is often distinguished 



4*74 EXCESSIVE SEMINAL LOSSES. 

with difficulty under a power of three hundred 
diameters. At a still later period the animalcules 
become fewer, and in two individuals in the last 
stage of the affection the semen no longer contained 
animalcules, although it retained its characteristic 
smell. Examined with high powers and every pro- 
per precaution, I only found, in this semen, brilliant 
globules, all exactly alike, and about the same size 
as the head of a spermatozoon. 

" The microscopic examination which I have 
made of semen passed during efforts at stool give* 
analogous results. When such discharges only 
take place accidentally and at long intervals, the 
semen is thick, whitish, impregnated with a power, 
ful smell, and abundantly furnished with well-de. 
veloped animalcules. I have sometimes even found 
a few alive after an hour or two. But when these 
discharges become so frequent or habitual as to 
constitute disease, they become less abundant and 
the semen losses its normal properties. The sper- 
matozoa are generally smaller than in the healthy 
condition, and always less lively. I have some 
preparations in which they are only of half the 
ordinary size, and I have never been able to find a 
single living animalcule a few minutes after the 
fluid had been expelled. When the disease has be- 
come much aggravated the spermatozoa become 
rare, and they are. sometimes replaced by ovoid or 
spherical globules similar to those of which I have 
already spoken. In three patients in an extreme state 
of disease I found nothing else, although they passed 
as much as a dessert spoonful of semen at each 
stool. Such cases, however, are exceedingly 
rare. 

" In diurnal pollutions happening during the pa* 
25 



EXCESSIVE SEMINAL LOSSES. 275 

sage of urine the following means may be employed 
to show the presence of spermatozoa. 

The urine should first be filtered ir. a conical 
filter, when on account of their weight, the greater 
number of the spermatozoa will remain on the lowest 
part of the paper. By taking this portion and 
turning it upside down in a watch-glass containing a 
few drops of water the animalcules become detached 
from the paper by degrees, and fall to the bottom of 
the fluid in the glass. After twenty-four hours 
maceration in this position, the paper may be taken 
away and the spermatozoa may be readily obtained 
by using a drop from the bottom of the fluid in the 
watch-glass for examination. This mode of pro- 
ceeding is a sure one, but it requires considerable 
time and trouble for its performance. I have 
already stated that the urine does not always contain 
spermatozoa in cases of diurnal pollutions ; there- 
fore, the urine of the same individual would perhaps 
require examination on many occasions before thp 
certainty of their presence could be established, and 
few medical men in active practice have time to 
devote to such experiments. I for one should have 
long since given up treating these patients had I 
been obliged to repeat in every case such long and 
tiresome examinations. Ten days or a fortnight are 
sometimes passed without, the appearance of sperma- 
tozoa in the urine, and hence all who are accus- 
tomed to microscopic researches will admit the 
indefinite amount of trouble and time required. 

" Fortunately, however, there is a more simple 
method by which such examinations may be con- 
ducted. It will be recollected that the semen 
Always escapes either with the last drops of urine, 
or immediately, or soon afterwards. By diieeting 



276 EXCESSIVE SEMINAL LOSSES. 

the patient, therefore, to compress the urethra im- 
mediately afte.r micturating, and to receive the drop 
of fluid pressed out on a piece of glass, sufficient 
animalcules will be obtained from the walls of the 
urethra for microscopic observation. These being 
covered with a thin lamella of glass may be either 
at once placed under the microscope, or may be al- 
lowed to dry, and examined at a future time, a drop 
of water being previously added. This mode of 
examination is, therefore, easy for all practitioners 
who possess a good microscope, after they have ac- 
customed themselves to the inspection of the sperma- 
tozoa in their natural state. The changes which 1 
have mentioned as occurring in the semen must be 
borne in mind, however, and the animalcules must 
not be expected to appear either so large, so well 
defined, or so numerous as in cases where there if 
no disease. " 

TREATMENT OF SPERMATORRHOEA. 

In treating Spermatorrhoea there are two things 
necessary to be ascertained, first the primary ex- 
citing cause, and secondly the existing cause, if 
such there be, that keeps up the disease. Most 
usually we discover that masturbation has been in- 
dulged or that the patient Jias been addicted to ex- 
cess, and it is of course necessary that such evil 
practices be immediately and totally abandoned, be- 
fore any improvement can be hoped for. Next we 
must see if there De any skin disease, piles, consti- 

Eation, worms, gravel or any other cause that may 
eep up the irritation, and when this has been re. 
moved the actual treatment of the parts themselves 
may begin. This treatment must consist in the 



EXCESSIVE SEMINAL LOSSES* 



277 



application of those me-ans best calculated to remove 
the irritability or relaxation existing in the ducts and 
seminal vesicles, and to give tone to the Testes,. So 
long as the ducts and vesicles retain their irritability 
"or remain open the semen must necessarily escape, 
and it becomes therefore absolutely requisite to re- 
move such disability, and restore to them that power 
of contraction which they possess in a healthy state. 
In some recent cases very simple treatment will 
suffice. If the patient leaves off all bad habits, 
avoids constipation, attends carefully to his diet, takes 
no simulants either in food or drink, and carefully 
bathes himself in cold water round the parts, night 
and morning, a decided improvement will often be 
experienced. He must, however, avoid all excite- 
citement of the mind or feelings, never over- fatigue 
himself, and not lie in bed after he is awake in the 
morning. — These directions are more especially 
applicable to those incipient cases common among 
young men, when the emission takes place at night, 
usually in consequence of a dream. It will usually 
be found in such cases that the loss occurs towards 
morning, and most frequently when the patient Is 
half asleep and half awake, a st%te which is very 
apt to produce sexual excitement. Many young 
men have told me that they never had an involun- 
tary erection except at such times, and that if they 
ever remained in that half dreamy condition it was 
nearly certain to occur. However disagreeable it 
may be, therefore, the patient must rise immediately 
he is awake, unless it be too early, and he feels con- 
fident he can go sound to sleep again. Many per- 
sons whenever they awake and feel any tendency 
to erection, always rise and bathe themselves and 
then lie down again, and by these means escape tho 



278 EXCESSIVE SEMINAL LOSSES. 

emission. It is particularly imi >ortant also that late 
suppers should be avoided, and that no coffee should 
be drunk, and no tobacco used. This is very neces- 
sary, for many of my patients assure me tnat a sin- 
gle cigar towards bed-time will ensure an emission. 
in spite of all the precautions they can lake. 

If all young men were to observe tnese precau. 
tions habitually they would seldom be trowbleti 
with involuntary emissions at all, because the parts 
would be so strengthened, and all irritation so 
promptly subdued, that it woulu scacely ever arise, 
unless from excessive abuse or masturbation. The 
remarks which I formerly made as to the import- 
ance of regular occupation, botn for body and mind, 
are also particularly applicable here, there being 
no doubt but that idleness very much predisposes 
to all these evils. 

Internal medication is seldom of much benefit, 
but unfortunately most persons think the contrary, 
and this great and fatal error is often the means 
of perpetuating the disease. Men think, when they 
are afflicted with involuntary emission, that it is 
only necessary to take certain drugs to be made well 
again. They accordingly either allow the evil to 
go on till it becomes incurable before they do any. 
thing at all., or else they rely upon the medicine 
alone and neglect all other means. The conse- 
quence is that they obtain no relief from what they 
have taken, and find that the time has beer, uselessly 
lost during which a cure was possible. I do nol 
hesitate to say that any man, by observing the sim- 
ple advice already given, will be more benefitted 
without any medical treatment whatever, than he 
can be by the best he can receive if that advice be 
neglected. It is true that a little medication is ot> 
25* 



EXCESSIVE SEMINAL LOSSES. 279 

asionally beneficial, but it is not of a specific cha« 
; acter, or adapted to all alike, but must be varied 
according to circumstances, and in all cases it should 
be regarded merely as assisting, and not as being 
capable of curing alone. It is more especially 
when there is gravel or considerable irritation of the 
urethra ami bladder, that good can be done by medi- 
cation, and even then it is of a simple character. 
If there is any heat and burni-ng when the urine is 
discharged, with a discharge of thin mucus at the 
beginning of the flow, the following pills will be 
beneficial. 

R. Balsam of Copaiva, two drachma ; Magnesia, 
seven grains. To be made into pills of -four grains 
each, of which two may be taken three or four times 
a day. 

If the urine is high colored, and deposits a red 
sediment upon the sides of the vessel, indicating 
gravel, the following powders will be better. 

R. Dried Bearberry leaves, (JJva Ursi) one 
drachm and a half; Bicarbonate of Soda, one 
drachm. Mix them and divide into twelve powders, 
of which one may be taken three times a day in 
water. 

These powders are also excellent when there is 
simply irritation of the bladder, causing a frequent 
desire to urinate. For this particular trouble it i& 
also advisable to drink but little, and never to use 
hot fluids of any kind, nor spices, wines, spirits, or 
coffee. A little gum is useful, kept in the pocket" 
and swallowed occasionally during the day. 

There are few cases in which these means will 
not at least give some relief, even if they do not 
cure, but it may not be immediate. This is a fact 
that should be borne in mind, so that discourage. 



280 EXCESSIVE SEMINAL LOSSES. 

ment should not be felt because the good is not ex- 
perienced at once. The disease it should be remem- 
bered nas nearly always existed a long time, and 
has assumed a chronic form, so tha. it can only he 
successfully attacked in a gradual manner, by 
slowly producing a change in the action of the parts. 

Nevertheless, 1 have known many benefitted 
almost immediately, and very often I hear the re- 
mark, that in one week from the time of commenc- 
ing the treatment, the emissions decreased one half 
in frequency. To ascertain the extent of the im- 
provement, and as a guide to the physician, every 
one afflicted in this way should keep a diary, or date 
the times when the emissions occur, so that it can 
be seen whether they are really decreasing in fre- 
quency or not. 

One of the best means for applying cold water, 
both for the purpose of strengthening the genitals 
and also for relieving constipation, is by means of 
what is termed the ascending douche ; that is by a 
stream or jet directed upwards. This must be 
made to play forcibly on the Perineum, and against 
the Anus, by the patient sitting over the jet. The 
effects of this treatment, after a time, are often 
strikingly beneficial. I have known patrents who 
had previously never passed a night without emis- 
sions, remain for two weeks without experiencing 
anything of the kind ; and I have known the most 
obstinate constipation, in some instances of near 
three weeks' duration, completely cured by it in 
less than a month. It is in fact one of the most 
valuarble remedies we possess in the treatment of 
Spermatorrhoea, and has cured more than, perhaps, 
all other means put together. Those who cannot 
employ a p'oper apparatus may use a large ana 



EXCESSIVE SEMINAL LOSSES. ^i 

powerful syringe, bent at right angles, so that the 
Jet can be thrown up against the Permeum, Scro- 
turn, and Anus. It should be used morning ana 
flight, for about five minutes. The man, mentioned 
ui the last article, w~ho had been impotent for nine 
years, owed his cure to this cold douche. I have 
men found nothing else necessary, even in very bad 
zases 1 except proper attention to the diet and regi- 
men. 

In case of worms in the rectum, which often 
keeps up Spermatorrhoea by their irritation, there 
are few things • that succeed better in dislodging 
them, and subduing Ue irritation, than enemas of 
cold water. X nese seem to paralyze the worms, so 
that they lose their hold and are expelled with the 
fluid as it returns. They also cool and give tone 
to all the neighboring parts in a very marked man- 
ner, and are in short valuable remedies in the 
treatment of Spermatorrhoea. In some instances 
they will cause erections from the very first, though 
the person may have previously been almost impo- 
tent. 

When the loss evidently occurs more from 
general weakness than from irritation the plan of 
treatment must be somewhat varied. Warm bath- 
ing may then be advised, with a generous diet of 
meat and wines, and the occasional administration 
of tonics and bitters. Galvanism is also of very 
great service in many of these cases of debility, 
applied directly to the parts, or to them and the 
spine. It will frequently impart a feeling of 
warmth and vigor from the very first, and restore 
the natural powers sooner than almost anything else. 
The patient should, however, be particularly cau. 
tioned not to use any of the stimulating medicine, 



282 EXCESS, /E SEMINAL U S8ES. 

cordials, and tonics, so urgently recommended foi 
this debility. ■ These are mostly composed of Span* 
ish jiies or Phosphorus, and are very hurtful, 
though they may appear to do good for a time. 

Several of the mineiai waters are highly useful 
in Spermatorrhoea, especially those that contain iron. 
And those that contain sulphur are also of service 
when used as baths. 

When there is any considerable nervous irrita. 
bility, with resdussness, loss of sLeep, or bad dreams, 
a narcotic may be of service. A few drops of 
laudanum may be taken at bed-time-, or some of the 
camphor and opium pills, directed in a formei 
article. If the stomach cannot bear opium it may 
be given as an enema, either by putting a few drops 
of laudanum in some starch-water, or by using a 
decoction of poppy-heads. Some patients even 
introduce an opium pill, containing one grain, into 
the rectum at bed-time, and leave it there till 
morning. This will frequently prevent emission, 
but it is apt to act too strongly on some persons. 

Occasionally setons are of service, placed inside 
the thighs, or acupuncture with needles, but these 
must always be directed and applied by the phy- 
sician. 

The position in bed is frequently of some con- 
sequence in very irritable persons, and should be 
attended to. There is no doubt but that lying on the 
hack is very apt to cause pollution, by the heat it 
produces in the loins, and sometimes it will con- 
tinue it notwithstanding everything else that can be 
done. So well aware are some persons of this that 
they invent peculiar contrivances to prevent them 
ever resting on the back, even fcr a moment. One 
of my patients used to wear a broad leathei deli aJ 



EXCESSIVE SEMINAL I OSSES. 283 

night, with spikes on the inside behind, so that if ha 
turned on his back while asleep, these hurt hiin and 
waked him up. Another wore a pointed piece of 
wood, so adjusted that he could not turn on his back 
at all, and by these means he avoided the emissions 
that used to occur almost nightly. Sometimes it is 
sufficient to merely sleep upon a hard mattress, 
with a piece of oiled silk, or india rubber cloth 
under, to keep the parts cool ; or what is still better 
a sheet of lead may be tied over the back and loins 
when retiring. I have known some patients speak 
very highly of the effects of this metallic shield. 

When there is decided irritation of the genital 
organs, manifested by redness at the end of the 
penis, burning When making water, and mucus 
discharge from the urethra, it becomes of the first 
moment to prescribe a proper diet, consisting chiefly 
of milk. This should be used freely, both as food 
and drink, either thickened with rice, isinglass, or 
sago, or even with gum-arabic. The benefical 
effects of this article will soon be evident in th6 
decrease of all the inflammatory symptoms. Very 
little meat must be used with it, but plenty of 
potatoes, which are not only nutritious, but have 
also a decidedly good effect on the urine. Some 
fruits are very excellent, particularly strawberries, 
and ripe peaches, and so are tomatoes, but any very 
acid ones are objectionable. If the milk disagrees 
with the stomach a little, which it will sometimes 
do, a few grains of magnesia may be added to it, or 
two or three spoonfuls of lime-water, which will 
generally correct all such tendency. The copaiva 
and magnesia pills may alsc be used, or the pow. 
ders of bearberry leaves, as formerly directed. 
Wines, coffee, spices, and spirits must be rigidly 



284 EXCESSIVE SEMINAL LOSSES. 

avoided in all such cases, and in fact every hind of 
excitement, as far as possible. 

• Cauterization.— This is a process which usually 
is resorted to when all other modes of treatmRiV 
fail, though some physicians practice it from th# 
first. To understand how it operates the action at 
caustic, when applied medicinally, must be born* 
in mind. If we have any diseased surface, such 
as an open ulcer, or an inflamed mucous membrane, 
the caustic not only burns off that diseased surface, 
but by its energetic action so alters the condition of 
the parts that the disease is frequently removed 
altogether. This is why it is applied to alj virulent 
sores, and to inflamed sore throats, eyelids, and 
other parts. Now in confirmed Cases of Sperma- 
torrhoea there is always either a relaxed or an in. 
flamed condition of the Ducts, Urethra, or Vas De- 
ferens, and it is evident that if the caustic can be 
Applied to them, in a proper and efficient manner, it 
will in all probability affect them in the same way 
that it does other parts when similarly diseased. 
The great difficulty, however, is to find a means to 
apply it in the situation required. The ducts being 
placed at the bottom of the tirethra, completely out 
of sight by any means, and with great difficulty ever 
reached, it becomes a question as to how they are 
to be operated upon. This has been decided, how. 
ever, by M. Lallemand, who has invented an instru* 
rnent which enables us to apply the caustic to the 
ejaculatory ducts, with almost as much certainty as 
to any place on the exterior. This instrument 
consists of a silver tube, open at the end, and 
adapted to the size of the passage, down the inside 
of which passes a kind of piston, furnished at the 
«3i>d with a piece of lunar caustic, When the tube 



EXClSSSIYE SEMTNAL LOSSES. 285 

is introduced into the urethra, the caaistic is con« 
tailed inside of it, but when the open end of the 
tube has reached the ducts the piston with the caus 
tic on it is pushed out a little way for a moment, 
and of course burns the surrounding parts ; it is 
then drawn back into the tube and the whole appa- 
ratus is immediately abstracted. By these means 
the ducts, the mouths of the prostatic vessels, and 
the neck of the bladder are effectually cauterized 
without any of the other parts being touched. The 
performance of this operation is certainly a little 
difficult, and requires great manual skill with an 
intimate knowledge of the structure of the parts. 
An unskilful person, who could not properly manage 
the instrument, or not judge correctly of the proper 
distance to introduce it, might not only fail of doing 
good but even do harm. Many practitioners also 
cause grea-t mischief by letting the caustic remain 
eoo long, and burning too much, or by acting only 
an the healthy parts and leaving the diseased ones 
antouched. In short, though the operation is fre- 
quently of the greatest benefit, when properly per- 
formed, and capable of effecting a complete cure in 
the very worst of cases, it is also exceedingly dan* 
gerous when improperly performed, as too many 
know. Not only may the irritation be made much 
worse, but the most severe inflammation may foL 
iow from it, so as to prevent the discharge of urine, 
and lead to abscesses and ulcers of the most incura- 
ble kind. Even in successful cases, and under the 
most favorable circumstances, great distress ia 
nearly always experienced, and the pain is not un- 
frequently very severe. Many persons are much 
alarmed, and even though greatly benefitted, cannul 
bring their .mind to submit a second time to it. 



286 EXCESSIVE SEMINAL LOSSES. 

In general, however, one operation is sufficient, 
and when a repetition is required, it should selcbom 
be under six weeks or two months after. I have 
seen patients in a miserable state who had been 
cauterized too f lequently, and with too short inter- 
vals, and in all probability cauterization has, on the 
whole, done more evil than good. The discovery ot 
certain new remedies, and improved modes of treat- 
ment, enable us now to dispense with it altogether, 
except in some very iare cases. It is now very 
seldom resorted to. 



281 



CHAPTER VIII. 

CHE INFLUENCE OF MEDICINES IN PRODUCING 
AND CURING IMPOTENCE AND SPERMATOR- 
RHEA. 

There are a few medicinal substances that act in 
a direct manner upon the genital organs, some 
oeneficially and others hurtfully, but the greater 
number operate upon them indirectly. This is a 
subject about which there is great ignorance, as I 
before stated, and an immense deal of imposition 
and pretension, both among empirics and regular 
practitioners. It has always been a favorite notion 
with the public, and one that has been often encou- 
raged by medical men, from interested motives, 
that there are specific medicines capable of arous- 
ing the sexual ardor under almost any circum- 
stances. From this notion has originated ail the 
various cordials, stimulants, and elixirs, that are • 
constantly pressed upon the attention of the impo- 
tent and sterile. None of these things are in the 
slightest degree capable of accomplishing what is 
promised of them, as well-informed people are 
aware, but the public generally are deceived and 
much injured thereby. Very lately it has been 
ascertained that certain drugs can be made to have 
a remarkably beneficial action, in particular cases 
of loss of po^er, but each case requires a peculiar 
dose and mode of administration, which makes it 
impossible to prescribe for all alike. These agents, 
however, are probably not known, even by name 



288 INFLUENCE OF MEDICINES. 

to the parties who compound the preparations 
above referred to, and it is fortunate they are not, 
for if they w^re, more mischief would be done than 
by the things^ now used. There is no doubt but 
that an immense deal of disease and incurable im- 
potence is caused by the use of these preparations, 
and much good will resuh from cautioning the pub- 
lic against them. 

It is not only the action of those drugs that may 
be beneficial -that we have to study, however, but 
also those that may be hurtful, and among them 
will be found many that few persons have suspected 
of having any influence on the genital organs at ail. 
Furgatives, for instance, are popularly thought to 
act only on the bowels, and not to influence sexual 
vigor at all, but the fact is, they often exert a very 
marked influence in that way. It is well known 
that aloes, gamboge, colocynth, and several other 
purgatives irritate the bowels very much, and this 
irritation may be extended to the neighboring parts, 
particularly near the rectum, and in this way they 
excite the flow of urine in some persons, by irritat- 
ing the bladder, as well as operate upon the bowels. 
Now the spermatic ducts, and prostate gland, lie 
close to the rectum, and of course are subjected to 
this irritation as much as the bladder, and are 
equally liable to become unusually sensitive. 1 
have known many persons in fact who always had 
involuntary emissions when they took purgatives, 
and who were obliged to be exceedingly careful in 
consequence when they did so. When there is 
any tendency to Spermatorrhoea, therefore, the pos. 
sible effect of purgatives must be borne in mind, 
both by the physician and patient, and when they 
are absolutely needed those must be chosen that are 



INFLUENCE OF MEDICINES. 28i> 

least irritating, particularly to the lower part of the 
Dowels. 

Tobacco is an article that exerts a mo?t decided 
action, in numerous cases, upon the generative 
organs, though few persons suspect it of doing so. 
Like opium, and some other narcotics, it often 
stimulates at first, but afterwards greatly weakens 
the sexual power, so as to -bring on complete impo- 
tence in many cases. I am satisfied, from my own 
obserwitions, that it frequently leads to involuntary 
emissions, and keeps them up notwithstanding all 
that can be done for them. Many young men, 
patients of mine, have remarked that a cigar at 
bed-time would be certainly followed by emission 
before morning, and they found it necessary in con- 
sequence to abandon its use. It is true that these 
results are not generally seen except the tobacco is 
used in great quantity, but there are some persons 
that are affected by a very small portion, and who 
therefore never surmise that it has any influence 
upon them at all. I once saw a young man, a great 
smoker, who suffered from constant pollution, and 
who had been perfectly impotent for five years. He 
had submitted to every kind of treatment, even to 
cauterization, but only obtained temporary reli' f, 
and at last totally despaired of ever being benefitted. 
On hearing his statement, and learning what had 
been done for him, I was much surprised, because 
there were no indications of severe disease, nor 
were the parts themselves in an unhealthy condi- 
tion, though relaxed, and the Testes still secreted 
perfect semen in considerable quantities. During 
our conversation he 'accidentally alluded to his 
smoking habits, and said he frequently used from 
mo to four dozen cigars a day. I was immediately 



INFLUENCE OF MEDICINES. 

strock with the similarity of his case to that of a 
great opium chewer whom I had seen, and I at once 
concluded that the tobacco was the cause of the 
mischief. On explaining this to him he could 
scarcely be brought to think it possible, but even- 
tually he agreed to follow my advice and gradually 
leave it off. • The result even exceeded my expec- 
tations, for I was much' afraid that some permanent 
mischief had been done. He began to mend im. 
mediately, and though considerable lowness of 
spirits, weakness, and loss of sleep was experienced 
at first, yet all these effects ultimately passed off and 
he felt better, and was stronger than while using 
the tobacco. The most marked effect, however, 
was the checking of the Spermatorrhoea. When I 
first saw him he passed 'semen constantly in his 
urine, and frequently in the night. He had little 
or no erection, and such nervous palpitation of the 
heart occurred, whenever any slight sexual feeling 
was experienced, that he became utterly powerless, 
and would undoubtedly have been impotent from 
that cause alone. This all passed off, the involun- 
tary discharge ceased, and his sexual powers re« 
•turned as strongly as ever. Contrary to my advice 
he commenced using the tobacco again, thinking 
that it would now cease to affect him, but in three 
'days all the old symptoms returned, and he became 
as impotent as ever. On leaving off his smoking, 
however, he gradually recovered again, though with 
more difficulty thin at first] which made me caution 
him not to relapse again, for fear the re-aciion might 
-eventually fail altogether. I have even known 
married men seriously injured in this way, by 
merely using tobacco as a domestic indulgence. In 
une instance a gentleman, engaged in a somewhtu 
26* 



INFLUENCE Of MEDICINES. 291 

harassing business, was induced by a friend to 
smoke a few cigars at night, to steady his nerves ' 
He found, however, that though he could readily 
stupify himself, yet his nerves were no steadier, 
particularly in the morning, and what was most sin- 
gular, to him, he lost all sexual power and desire, 
and became so weak he could scarcely stand. In 
this dilemma he consulted me, and gave me a full 
history of his proceedings and experience. On ex- 
amining his urine I found, as I expected I should, 
that the semen escaped with it, and in such quanti- 
ties that his impotence and weakness were no longer 
to be wondered at. I at once told him to leave off 
his tobacco, gave him a slight tonic, cauterized the 
ducts, and directed him to go and bathe in the, salt 
water for a few weeks. He did so and returned 
perfectly cured. 

I could, in fact, give numerous cases, both among 
single and married, showing the effects of this 
poisonous drug, and I do not hesitate to say that 1 
think it has more to do with many of these com 
plaints than has been hitherto supposed. 

In the thirteenth Annual Report of the Massachu 
setts State Lunatic Assylum, are some excellent 
remarks on the use of tobacco, which, though they 
are intended to apply chiefly to its influence in pre- 
disposing to insanity, are nevertheless of great 
general interest, and I therefore quote them : 

" Alcohol is not the only narcotic which thus af- 
fects the brain and nervous system. Opium produces 
delirium tremens and probably insanity. Tobacco 
is a powerful narcotic agent, and its use is very 
deleterious to the nervous system, producing trem- 
ors, vertigo, faintness, palpitation of the heart, and 



292 INFLUENCE OF MEDICINES. 

rther serious diseases. That tobacco certainly 
produces insanity, I am not able positively to ob- 
serve ; but that it produces a predisposition to it, I 
am fully confident. Its influence upon the brain 
and nervous system generally, is hardly less obvi- 
ous than that of alcohol, and if used excessively is 
equally injurious. The young are particularly 
susceptible to the influence of these narcotics. If a 
young man becomes intemperate before he is twenty 
years of age, he rarely lives to thirty. If a young 
man uses tobacco while the system is greatly sus- 
ceptible to its influence, he will not be likely to 
escape injurious effects that will be developed 
sooner or later, and both diminish the enjoyments 
of life and shorten its period. 

" The very general use of tobacco among young 
men at the present day, is alarming, and shows the 
ignorance and devotion of the devotees of this dan- 
gerous practice to* one of the most virulent poisons 
of the vegetable world. The testimony of medical 
men, of the most respectable character, could be 
quoted to any extent to sustain those views of the 
deleterious influence of this dangerous narcotic. 

"Dr. Rush says of tobacco — ' It impairs appetite, 
produces dyspepsia, tremors, vertigo, headache, and 
epilepsy. It injures the voice, destroys the teeth, 
and imparts to the complexion a disagreeable, dusky 
brown.' 

" Dr. Boerhaave says that * since the use oi to* 
bacco has been so general in Europe, the number 
of hypochondriacal and consumptive complaints has 
increased by its use.' 

"Dr. Cullen s*ys, '1 have known a small quan- 
tity snuffed up the nose to produce giddiness, stupor 
wid vomiting. There are many instances of itb 



INFLUENCE OF MEDICINES. .29$ 

more violent effects, even of its proving a mortal 
poison.' 

" Dr. Darwin says, ' It produces disease of the 
salivary glands and the pancreas, and injures the 
power of digestion by occasioning the person to spit 
off the saliva which he ought to swallow.' 

" Dr. Tissott once saw the smoking of it prove 
fatal. 

" Dp. Pilcher details the particulars of a case of 
a medical student whom he had been requested to 
see. * This gentleman suffered under all the symp- 
toms of phthisis. There was muco- purulent ex- 
pectoration, night sweats, &c. The mucous mem- 
brane of the throat, epiglottis, and the neighboring 
parts, was coated with a brown fur. The patient 
had been an immoderate snuff-taker ; he was told 
to discontinue the snuff; he did so, and recovered.' 

" Dr. Chapman says, i By a member of Congress 
from the West, in the meridian of life, and of a 
very stout frame, I was some time since consulted ; 
he told me that, from having been one of the most 
healthy and fearless of men, he had become ' sick 
all over, and timid as a girl.' He could not even 
present a petition to Congress, much less say a word 
concerning it, though he had long been a practising 
lawyer, and served much in legislative bodies. By 
any ordinary noise he was startled or thrown into 
(remulousness, and afraid to be alone at night. His 
appetite and digestion were gone, he had painful 
lensations at the pit of his stomach, and unrelenting 
constipated bowels. During the narrative of his 
suffering, his aspect approached the haggard wiid- 
oess of mental distemperature. On inquii v, I found 
that his consumption of tobacco was almost incredi- 
ble, by chewing, snuffing and smoking. Being sat 



294 INFLUENCE OF MEDICINES. 

fafied that all his misery arose from tnis poisonous 
weed, kd use was discontinued, and in a few weeks 
he entirely recovered. 

" Distressing as was this case, I have seen others, 
from the same cause, even more deplorable. Two 
young men were in succession brought to me for 
advice, whom I found in a state of insanity, very 
much resembling delirium tremens. Each had 
chewed and smoked tobacco to excess, though per- 
fectly temperate as regarded drink. The further 
account given me was, ' that in early life, adopting 
this bad practice, it grew with their growth. Dys- 
pepsia soon occurred, attended by great derange- 
ment of the nervous system, and ultimately the 
mania I have mentioned. But I have also seen the 
same condition very speedily induced.' 

" Dr. Franklin says he never used it, and neve! 
met with a man who did use it that advised him to 
follow his example. 

" The venerable John Qnincy Adams, iu a recent 
letter on the subject, says that in early life he used 
tobacco, but for more than thirty years he had dis- 
continued the practice. i I have often wished, 3 
says he, ' that every individual of the human rase, 
affected with this artificial passion, would prevail 
upon himself to try, but for thiee months, the expe- 
riment which I have made, and am sure it would 
turn every acre of tobacco-land into a wheat-field, 
and add jive years to the average of human life.' 

" Some cases have come under my observation 
which show the injurious effects of tobacco wher« 
no evil was suspected. 

" A respectable merchant, who abstained wholly 
from ardent spirits, applied to me for advice. He 
complained of great weakness, tremor of the limbs 



INFLUENCE OF MELICINE&. 295 

and joints, with lassitude, general prostra.ion of 
health, and depression of spirits. Knowing that he 
used tobacco freely, I advised him to discontinue 
it entirely ; he soon became better, and after a 
time was wholly relieved from these disagreeable 
•ymptoms. 

"A distinguished clergyman informed me that he 
had been an extravagant snuff-taker ; that for years 
he had had a disagreeable affection of the head, and 
his health was not good. He did not attribute either 
to his use ^f snuff, but thinking it a filthy habit and 
a growing ev'ii, he resolved to leave it off. He was 
surprised to find the difficulty in his head almost 
immediately left him, and his general health became 
quite good. 

" A gentleman of athletic frame, and about 
twenty-four years of age, applied to me for advice. 
He complained of insufferable faintness and distress 
of stomach, morning-sickness, vomiting, trembling 
and prostration of strength. He diminished his to- 
bacco considerably, and was immediately better, 
but had not resolution to abandon the pernicious 
practice. 

u In our experience in the Hospital, tobacco in all 
its forms is injurious to the insane. It increases 
excitement of the nervous system in many cases, 
deranges the stomach, and produces vertigo, trem- 
ors, and stupor in others. It is difficult to control 
its use with the insane, and though considerable suf 
fering comes from its entire abandonment, it cannot 
be generally allowed with safety. 

" One patient, while at labor, found a quantity 
oi tobacco, and hi i it in his bed. He used it freely, 
became sick, lost his appetite, and confined himself 
to his bed completely intoxicated. After some (lays, 



296 INFLUENCE OF MEDICINE*. 

diligent search was made, and a store of tobacca 
was found in his straw-bed ; when this W3* removed 
he almost immediately recovered, and in a tew days 
was well as before. 

" A person who came into the Hospital a furious 
maniac, soon became calm and improved favorably. 
He labored in the field with propriety, and exhi- 
bited every indication of a favorable convalescence. 
Suddenly, without any apparent cause, he again be- 
came very violent and insane. It v/as soon discov- 
ered that he had in some way obtained tobacco. 
After he ceased to use it, he again became calm 
and convalescent. 

" An aged lady was brought to us very insane* 
The practice of her friends for some time had been 
to give her ardent spirits to intoxicate her at night, 
and tobacco and snuff, in unlimited quantity, for the 
day. All these were withdrawn at once ; her suf- 
ferings for some days were great ; but after a time 
she became calm, and got better as soon as the influ- 
ence of this excitement was over. 

" I have already exceeded my intended limits in 
the detail of cases. 

"It is very natural to suppose that an article pos- 
sessing the active properties of this fascinating nar- 
cotic, should produce most deleterious effects upon 
health — particularly upon the brain and nevous 
ay stem. 

" The uninitiated cannot smoke a cigar, 01 use 
tobacco in any form, without unpleasant effects, — 
(tow then can it be possible that a poison so active 
can be used with impunity ? The stomach and 
brain, subjected to such influences, will become dis- 
eased, and show their effects as certainly as if alco- 
hol were used. If asked my medical opinion, which 



rifFLUENCE OF MEDICTNES. 297 

was safkst, four glasses of wine or four quids of 
tobacco, daily, I should say unhesitatingly the wins* 
Of the two evils, this would, in my opinion, be the 
least. Tobacco is the strongest, most dangerous 
narcotic — the habit of its use is the strongest and 
most difficult to overcome, and the influence felt from 
it most baneful and destructive- to health." 

Opium acts similarly to tobacco, but much more 
fatally, the exhaustion caused by it being much less 
readily recovered from. In fact if a man once be- 
comes impotent from using opium it is a great 
chance if he ever recovers his powers. 

Dr. McDougal says that many of his friends, 
(nveterate smokers, have remarked to him that a 
decrease of their sexual desires was one of the 
•narked effects of their indulgence, and I have fre- 
quently been told the same. M. Lallemand also 
gives several instructive cases in which this fact is 
forcibly illustrated. The following is a counterpart 
of many that I see : — 

" 1 have a young man of very nervous tempera- 
ment at present under my care, in whom nocturnal 
and diurnal pollutions have brought on pain in the 
loins, palpitation, difficulty of breathing, &c, symp- 
toms which were supposed to arise from disease of 
the spinal cord, cardiac affection, and commencing 
phthisis. Among the exciting causes of these in- 
voluntary discharges, the effects of smoking occupy 
the chief place. The following is the patient's 
statement. 

" ' At twenty years of age 1 wished to accustom 
myself to smoking ; but a day never passed without 
*iy experiencing complete intoxication, attended ' 
with vomiting, vertigo, and trembling of the limbs. 



298 INFLUENCE OF MEDICINES 

I continued the habit, however, and I soon oegan to 
perceive that my sight became Weak, and that J 
lost my memory ; my hands shook ; and my diges- 
tion became much disordered. I noticed also, great 
debility of the genital organs ; my erections ceased ; 
and at the age of twenty-two I found myself com- 
pletely impotent.' This patient had rarely prac- 
tised masturbation, and had never committed any 
excess when he first began to smoke ; his health 
had, previously, been excellent. It is, therefore,, 
evident that the impotence, as well as the othei 
symptoms, arose from the action of tobacco. Im- 
potence at the age of twenty-two can only be pro- 
duced by involuntary seminal discharges, provided 
there be no physical disability. In the present case, 
ihere was no doubt on the point, the patient himself 
having discovered diurnal and nocturnal pollutions, 

" The action of tobacco on those who smoke for 
the first time, is too well known to require descrip- 
tion ; more or less disorder of all the functions, va- 
rying according to the constitution of the individual, 
invariably arises from it ; and this disorder always 
presents more or less of the characteristics of poi- 
soning by narcotics. These effects go off by de- 
grees, as the patient becomes habituated to the use 
of tobacco, and generally after a time cease to be 
manifested at all. Some nervous and excitable in- 
dividuals are unable to accustom themselves to the 
habit, as in the case just mentioned ; in others 
again, smoking becomes an artificial habit, which 
in many cases is almost a necessity. 

" Bat this empire of custom has its limits, beyond 
which the narcotic influence re-appears. In such 
as are not easily affected, this acquired habit is ge- 
nerally supported with impunity ; but even then, if 



INFLUENCE OF MEDICINES. 299 

it be indulged in to excess, it must after a time be 
injurious. Thus it is that the most accomplished 
smokers often experience vertigo, cephalalgia, ano- 
rexia, etc., when they have remained long in an 
atmospheie densely filled with smoke, which is then 
drawn into the lungs, and probably produces worse 
effects than when merely drawn into the mouth, or 
swallowed, as in smoking. 

"In a word then, if the power of habit can pre- 
vent the momentary effects of smoking from show 
ing themselves, the frequent repetition of the use 
of tobacco produces more lasting effects on different 
organs. Disorder of the digestive organs is w§ll 
known as occurring in inveterate smokers ; that of 
the genital organs has not hitherto been- noticed. 
[Many inveterate smokers among my professional 
friends, have mentioned to me the diminution of 
their venereal desires, as one of 'the' effects of to- 
bacco. I believe, however, that it is by no means 
rare." H. J. McD.J 

Cantharides, or Spanish Flies. This article is 
popularly supposed to have an undoubted stimulating 
effect upon the sexual powers, and many persona 
will be surprised to learn how little foundation there 
is for such a belief. In fact upon most persons 
Cantharides have but little or no effect at all in that 
way ; except they are given in such quantity as to 
be poisonous, and then they only act by causing se- 
vere inflammation, noi only on the genitals but also 
in all the neighboring parts. It is quite common 
for even a small dose to create great irritation of the 
bladder, with complete inability to discharge the 
urine, and this may take place without any unusual 
'sexual excitement at all, though most usually th 



300 INFLUENCE OF MEDICINES. 

generative organs are stimulated more or less . —It 
is a great mistake, therefore, to suppose that Can- 
tharides have a constant and specific aol^n on the 
sexual organs, for they merely create an intense 
irritation, which affects these organs along with 
others, in the same way that many other irritant 
poisons do. — All the popular notions on this subject 
are utterly unfounded, and quite opposed to the truth. 
It is very seldom that Cantharides are of any se* 
vice whatever in the treatment of Impotence 01 
Spermatorrhoea, though a combination of these with 
other articles is useful in certain cases. They form 
the main ingredient in all the quack stimulants for 
the generative organs, and the use of them in this 
way unfortunately causes great mischief. Num- 
bers of young men are permanently ruined, from 
Spermatorrhoea, through taking these preparations 
of Cantharides, and I have known many married 
persons rendered hopelessly sterile from using them 
as stimulants. I had one distressing case of a 
young man, who was persuaded by a thoughtless 
friend to take some Spanish Flies as an experiment, 
,o see if they would not increase his desires and 
powers. The quantity he took was only a moderate 
dose, but the effects were most alarming. He com- 
pletely lost ail power of discharging the urine, 
though the Bladder was full almost to bursting, and 
experienced such agonizing pain in the prostate and 
urethra that he was nearly delirious. Priapism 
took place, but so far from being attended by in- 
creased pleasure that it added to his sufferings, and 
yet he could not prevent it. Fortunately he had 
timely assistance, and the immediate danger was 
obviated, but immediately after he began to be trou- 
bled with involuntary emissions in the night, and 



INFLUENCE OF MEDICINES. 3qj 

eventually when urinating, so that he became com. 
pletely impotent, and so weak he could scarcely 
stand. I cauterized him, and used every othef 
means the case would allow, but in spite tf all, the 
trouble continued to some extent, and probably 
always will. He had been suffering, however 
over four years when I saw him. 

I also had a case of a young person of the other 
sex., who was seriously injured by Cantharides > 
given as a trick, and who had involuntary discharge 
of urine ever afterwards. 

Camphor. — The action of Camphor upon the gen- 
ital organs is sedative rather than stimulant, and 
when taken improperly or in excess, it may almost 
entirely destroy the sexual feeling, at least for a 
time. It is therefore given in cases of priapism, 
and in excessive excitement, whether from sexual or 
physical causes. If Cantharides or any other irri- 
tating poison be taken, Camphor is usually a valua- 
ble palliative, and it is sometimes of great service 
in certain forms of Spermatorrhoea. If taken in 
too large doses, however, or for too long a time, it 
will cause involuntary emission. 

Nitrate of Potash or Saltpetre. — It is commonly 
supposed that this substance acts as a direct seda- 
tive to the sexual organs, and that if taken in any 
considerable quantity, it will destroy all feeling, but 
this notion is a very erroneous one. Like all other 
diuretics Nitre stimulates the Genital Organs, and 
i£ taken in too large doses it will even produce in- 
flammation, like Cantharides. Instances have been 
known where a discharge from the urethra has fol. 
lowed its use, like that of Gonorrhoea, and after- 
Wards involuntary emissions have been experienced. 

Ergot of Rye, or Secale Cornuturn. This sub 



302 INPL7ENCE OF MEDICINES. 

stance, as is well known, is used to expedite de 
livery in females, which it does by increasing th* 
action of the womb. Its use, however, is dangerous, 
except in proper hands. From recent observation* 
it appears to stimulate the male organs also, and the 
men of those parts where it grows among the rye 
are noted for their ardent desires, while the females* 
frequently miscarry. The Ergot cannot be gives 
alone, either with safety or advantage, but its com- 
bination with other articles, forms a valuable re. 
medy, both for impotence and for spermatorrhoea. 
It is one of the ingredients of a stimulating and 
invigorating medicine which I use extensively in 
my practice. 

Coffee and Tea. — Both these articles, but espe- 
cially coffee, act as direct stimulants to the genera- 
tive organs, and if taken in excess may produce all 
the effects of the most powerful drugs. I have 
known coffee cause priapism, lascivious dreams, 
and involuntary emissions, and nearly always its 
continued use will counteract anv treatment that 
can be followed for relief. 

Phosphorus. — This article is similar in its action 
to cantharides, but much more energetic, and con- 
sequently it is much more dangerous in wrong 
hands, but when properly administered it is fre- 
quently of great service. It is one o r the ingre- 
dients of the invigorating medicine which I formerly 
spoke of, with which I have often produced ths 
most unexpected restorations to power and health. 
Phosphorus should, however, never be experimented 
with by those not familiar with its action, for in 
some cases it will lead to the most disastrous con- 
sequences, and its evil effects are not easily re* 
©ore red from. 

27* 



INFLUENCE OF MEDICINES. 303 

Aromatics and Spices.— These have in general a 
stimulating effect on the generative organs, the 
same as on other parts, but their power varies very 
much in different persons, and under different cir- 
cumstances. There are various spice mixtures and 
combinations in popular use for this purpose, but 
they should not be indiscriminately used. Some- 
times they are highly injurious, like all other stimu- 
lants, and even when they do cause an increase of 
power or feeling it is only temporary, and often fol- 
lowed by directly opposite effects. 

In short none of these articles operate specifically, 
in a beneficial manner, on the generative organs, 
though certain combinations of them may do so 
under particular circumstances, like the medicine I 
have referred to as being used in my own practice. 

There is one drug brought from the East Indies, • 
the Cannabis Indica, which is the most regular in 
its action, and produces the most constant beneficial 
effects of anything yet tried. It appears to act as a 
special nervous stimulant, exciting that part of the 
brain which influences the- sexual organs, so that 
they feel directly an increase of power. It also 
causes great mental activity, disposes to cheerful- 
ness, and induces a feeling of warmth and comfort 
over the whole system. Those who have taken it 
in a proper manner, are delighted with its effects, 
and never complain of any after-depression or re- 
Action in any way. If given improperly, however. 
or in too heavy a dose, it first causes excitement of 
the wildest character, with an uncontrollable dispo- 
sition to bodily activity, and afterwards a complete 
cental and physical prostration. In short it is most 
*>werful, either for good or for evil, according as it 

j&ed, and is the onl} means we possess, in iiumer 



304 INFLUENCE OF MEDICINIftl. 

mis cases, of restoring sexual power and desire, fo 
the East Indies it is commonly used, like opium ig 
in China, for the purpose of producing pleasurable 
excitement, and also far removing impotence. 

A plant producing this drug grows in thfc 
United States, and with due care a similar prepara- 
tion may be made from it to that received from the 
East Indies. I have experimented with both, and 
when prepared by myself I have found the native 
product fully equal to the foreign. The Botanic 
physicians use this plant for various other purposes, 
but none of them seem to be aware of its possessing 
the properties I have described. Indeed the way in 
which they prepare and administer it prevent those 
properties from being exhibited. 

Medicines that excite the sexual organs are called 
Aphrodisiacs, and in various parts of the world they 
are in great demand, though but seldom adminis 
tered, so as to be of any real service. As I have 
already remarked some of these medicines, when 
properly used, have undoubted aphrodisiac powers, 
but they are by no means applicable in all cases. 
They may frequently fail of producing any good 
effect whatever, and sometimes may even cause ir- 
retrievable mischief. The successful administration 
of them therefore requires a perfect knowledge of 
their properties, and an extensive observation of 
their effects under all circumstances. It is for this 
reason I have not given any recipes for these drugs, 
for no one can tell when they should or should not 
be used unless they know something about them, and 
the effects of taking them improperly may be so 
serious that mere experiment with them is highly 
hazardous. 

In a particular class of cases ] have long been 



INFLUENCE OF JMEIICINEC. 30h 

ttsing a combination of the Cannabis, with othei 
articles, which I find to possess the most extraordi- 
nary powers, the preparat ; on of which I have been 
repeatedly importuned to disclose, both by parent* 
and medical men. At present, however, I do not 
feel called upon to make this disclosure, because I 
know the great mischief which would result froru 
using such a preparation improperly, and I know 
also how few persons there are familiar enough with 
its powers and properties to use it rightly. My 
own experience has made me acquainted with signs 
by which I can tell, in every case, whether it is 
proper to be used or not, and I will answer for its 
never producing evil effects when I advise it. So 
wonderful and unexpected have been .the effects of 
this preparation, in numerous instances, that if I 
chose to be unscrupulous and sell it indiscriminate- 
ly, I have no doubt but it would be used more 
extensively than any other medicine has ever been, 
for any purpose whatever. I do not think it proper 
to give it, however, in any case, till I know whether 
it be appropriate or not, and this I can always tell 
on receiving either a verbal or written description 
of the history, progress, and symptoms of the dis- 
ease. I do not hesitate to say that I have seen 
more restorations to sexual power, and more cures 
of Sterility, in both sexes, from the use of this pre- 
paration than from any other means.* 

Medicines that decrease the sexual powers are 
called An-apkrodisiacs, and I believe they have all 
been mentioned. 

* See Advertisement at the end of this Book foi the 
Aphrodisiac Remedy. 



306 

CHAPTEfi IX. 

MASTURBATION AND OTHER SEXUAL ABUSES* 

A very tew years ago only it was thought wrong 
even to allude to snch a subject as masturbation, 
much less to openly speak or write about it. For- 
tunately, however, people have become more ra- 
tional, and now begin to see that this and similar 
practices are of the most hurtful character, and that 
no successful efforts can be made for their removal 
till they are more fully and generally understood. 
Various books have been published, lectures have 
been delivered, and even sermons have been preached 
bearing upon this subject, till much general informa- 
tion about it is now disseminated, and a very gene- 
ral desire is expressed for something more complete 
and scientific than has yet appeared. — The greater 
part of the books written on the subject of Onanism 
or Masturbation, are very incomplete, and not ac- 
companied by those physiological and medical de- 
tails that are requisite to. give a clear view of the 
evil. The effects of this vice may be partly given 
in such works, though in an incomplete form, but 
the manner in which they are produced, their con- 
nection with other evils, and the philosophy of their 
treatment, cannot be understood without such a work 
as the present. I have, therefore, delayed speaking 
upon this subject till all the other topics have been 
introduced, so that the unnatural character of the 
vice, and its terrible consequences, may be clearly 
obvious. 



SEXUAL ABUSES. 30 

The mere tolerance of discussion on t lis subject 
was a great point gained, and was soon followed by 
ft general conviction that such a discussion was not 
only desirable, but imperatively demanded by the 
best interests of society. It is both curious and in- 
structive to see how this tolerance has been gradu- 
ally gained, and how a perception of the manifold 
evils of self-abuse has extended, though slowly, 
from a few philosophers to the great mass of the 
medical profession, and from thence to non- profes- 
sional persons, till at last it has even been made the 
Bubject of legislative action. 

I shall now proceed to show, by extracts from an- 
cient medical writers, how this subject was regarded, 
by eminent minds, in former ages, and then to exhi- 
bit the more perfect knowledge, and greater interest 
of modern times, including the approval, by exist- 
ing legislators, of investigations bearing intimately 
upon it. 

Se\ era 1 of thase extracts are taken from the cele- 
brated ^ r orks of Tissoi and others, and being from 
the writings of the Fathers of Physic, many of 
whom lived centuries before Christ, allowance must 
be made, in some few cases, both for unintentional 
exaggeration, and also for deficiency in scientific 
accuracy. Generally speaking the statements are 
fully authorized, and the pictures by no means 
overdrawn ; in fact it is often the case that the whole 
{ruth is not told, simply because it was not known. 

"Hippocrates the oldest and most correct obser- 
ver, has already described the diseases produced by 
abusing the pleasures of venery, under the t^rm, 
dorsal consumption. ' This disease,' says he, 
arises from the dorsal portion of the spinal ma* 



g08 \ SEXUAL ABUSES. 

row. It principally attacks yoang marrired people, 
or the licen.ious. They have no fever, and although 
they eat well, they grow thin and waste away. 
They have a sensation of ants crawling from the 
head down along the spine. Whenever they go to 
stool, or evacuate their urine, a considerable quan- 
tity of very thin seminal fluid escapes from the 
urethra. They lose the power of procreation, yet 
often dream of venereal pleasures. They become 
very weak, and walking produces shortness of 
breath ; they have pains in the head and ringing in 
the ears ; and finally an acute fever (Libiria) 
supervenes and they die." We shall mention thia 
fever in another place. 

" Some physicians have ascribed to the same 
cause, a disease which he has described, in another 
place, and have termed it, the second dorsal con- 
sumption of Hippocrates, and which has some rela 
tion to the first. But the preservation of the strength 
which he mentions particularly, seems to us a con- 
clusive proof, and this disease does not depend on 
the same cause, but seems rather to be a rheumatic 
affection. 

" ' These pleasures,' says Celsus, in his excellent 
work on the preservation of health, ' are always 
injurious to weak persons, and their abuses pros- 
trate the strength. 5 We can find nothing more 
frightful, than the description, by Aretseus, of the 
diseases produced by a too abundant evacuation of 
semen. ' Young persons assume the air and the 
diseases of the aged ; they become pale, stupid, 
effeminate, i'dle, weak, and even void of understand 
mg ; their bodies bend forward, their leg© are weak, 
they have a disgust for everything, become fit fo* 
nothing, and many are affoeted with paralvsrs.' iu 



SEXUAL ABUSES. 309 

diiDther place he mentions tne abuse of these plea- 
sures among the six causes which produce paraiyfci-n. 

" Galen has seen diseases of the brain and nenes 
from the same cause, and the powers of the body 
impaired ; and he also relates that a man who was 
convalescent from a violent attack of disease, died 
the same night after coition with his wife. 

"Pliny, the naturalist, informs us that Cornelius 
Gall us, the old praetor, and Titus Etherius, a Roman 
Knight, died in the act of copulation. 

" Aetius says, ' the stomach is deranged, all the 
body wastes, becomes pale, dry, and the eyes 
sunken.' These remarks of the most respectable 
ancient writers are confirmed by the moderns. 
Sanctorious who has examined, with the utmost 
care, all the causes which act on our bodies, has 
observed, that this weakens the stomach, destroys 
digestion, prevents insensible perspiration, the de. 
rangements of which produce such evil conse- 
quences, disposes to calculus diseases, diminishes 
the natural warmth, and is usually attended with a 
loss, or derangement of sight. 

" Lomnius, in his fine commentaries on the pas- 
sages of Celsus, whom we have just cited, supports 
the remarks of the author by his own observations. 
1 Frequent emissions of semen relax, weaken, dry, 
enervate the body, and produce numerous other 
evils, as apoplexies, lethargies, epilepsies, loss of 
tight, trembling, paralysis, and all kinds of painful 
affections/ 

" One cannot read without horror the description 
left us by Tulpius, the celebrated burgomaster and 
physician of Amsterdam. ' Not only,' says he, 
M the spinal marrow wastes, but the whole body and 
mind becomes languid, and the patient perishes is 



3)0 SEXUAL ABUSES. 

misery. Samuel Vespertius was attacked first with 
a humor upon the back of his neck and head ; i* 
ihen passed to the spine, to the loins, to the lower 
and lateral region of the abdomen, and to th<? hips 
this unhappy man was affected with so much pain, 
thai he was entirely disfigured, and was emaciated 
so gradually by a slow fever, f hat he more than 
once asked to be relieved from his misery by 
death. 5 

" Nothing says a celebrated physician of Lou- 
vain, weakens the system so much. 

" Blancard has known simple gonorrhoeas, drop- 
sies, and consumptions, to depend on this cause ; 
and Muys has seen a man of good age attacked with 
spontaneous gangrene, of the foot, which he attri- 
buted to the same kind of excesses. 

"In the Memoir es de$ Curieux de la Nature is 
mentioned a case of blindness : it deserves to be 
given at length. ' We are ignorant/ says the 
author, ' what sympathy the testicles have with the 
body, but particularly with the eyes.' Salmuth 
has known a sensible hypochondriac to become a 
fool, and in another man the brain to be so collapsed 
that it was heard to rattle in the cranium, both from 
excesses in venery. I have known myself a man, 
fifty-nine years of age, who, three weeks after 
marrying a young wife, became blind, and in four 
months died. 

" ' The too great loss of the animal spirits weakens 
the stomach and destroys the appetite ; and nutri- 
tion not taking place, the action of the heart be- 
comes more feeble ; all parts languish, and the pa- 
tient becomes epileptic.' It is true we are ignorant 
whether the animal spkits and the seminal fluid are 
the same ; but observations show, as we shall see 
2b 



SEXUAL ABUSES. 3 ] } 

hereafter, that these two fluids are very ai.alogou^ 
and that loss of one 01 the other, produces the same 
complaints. Hoffman has seen the most frightful 
symptoms ensue from the loss of semen. ' After 
long nocturnal pollutions,' says he, ' the patient not 
only loses strength, becomes emaciated and pale, 
.but the memory is impaired, a continual sensation 
of coldness affects all the ex.remities, the sight be- 
comes dim, the voice harsh, and the whole body, 
gradually wasted ; the sleep is disturbed by un- 
pleasant dreams, does not refresh, and pains are felt 
like those produced by bruises.' 

" In a consultation for a young man who, among 
other diseases produced by masturbation, was af- 
fected with weakness in the eyes, he says, * I have 
seen several instances of young men who, at mature 
age, when the body possesses all its strength, were 
attacked, not only with severe pain and redness of 
tne eyes, but the sight became so feeble that they 
could neither read nor write.' He adds, ' I have 
even seen two cases of guita serena from the same 
cause.' The history of the disorder which gave 
rise to this consultation will be read with interest. 
* A young man commenced masturbation, when 
fifteen years old, and having indulged in it till he 
was twenty-three, experienced so great feebleness 
in his head and eyes, that during the emission of 
*emen there was severe pain in the latter. When 
lie attempted to read anything he had a feeling 
iimilar to that of drunkenness ; the pupil was ex- 
traordinarily dilated ; the eyes were exceedingly 
painful ; the eyelids very heavy, and glued toguther 
every night ; they were often filled with tears, and 
a whitish matter collected very abundantly in the 
two corners which were very painful. Although 



SI 2 SEXUAL ABTTSBS. 

he die with a good appetite, still he <vas extremely 
emaciated ; and after he had taken food, appeared as 
if drunk.' The same author has mentioned another 
case of which he was an eye-witnes9, and which we 
think proper to mention here. ' A young man, eigh- 
teen years old, who had had frequent connections 
with a servant girl, suddenly fainted and trembled g 
exceedingly in all his extremities ; his countenance 
was red, and his pulse very small. He recovered 
from this state at the end of an hour, but continued 
very feeble. The same phenomena occurred very 
frequently with severe pain, and at the end of eight 
days there was a contraction and tumor in the right 
arm with a pain in the elbow, which was always 
increased during the paroxysm. The disease in- 
creased for some time, but was finally cured by 
Hoffman.' 

" Boerhaave portrays these diseases in that mas- 
terly manner and with that precision which charac- 
terizes all his descriptions. ' Too great loss of 
semen produces weakness, debility, immobility, 
convulsions, emaciation, dryness, pains in the mem- 
branes of the brain, impairs the senses, particularly 
that of sight, gives rise to dorsal consumption, indo- 
lence, and to the several diseases connected with 
them.' 

" The cases, narrated by this great man to his 
auditors in explaining to them this aphorism, which 
related to the different kinds of evacuations, ought 
not to be omitted. ' I have seen,' says he, ' a sick 
man where the disease commenced by a lassitude 
and feebleness in the body, particularly in the 
V)ins it was accompanied by twitching of the ten- 
dons, periodical spasms and loss of flesh, so as to 
destroy the whole body ; also pains in the mem- 



SEXUAL ABUSES. 3l3 

branes of the cerebrum, pains which tie patient 
terms (ardeur seche) a dry burning, which con- 
stantly inflames this most noble organ. 

" I have also seen one young man affected with 
dorsal consumption. His figure was good ; and 
although often cautioned against indulging in these 
pleasures, he did not regard it, and became so 
deformed before death, that the layer of flesh which 
appears above the spinous processes of the lumbar 
vertebrae, entirely disappeared. The cerebrum in 
this case seemed to be consumed ; in fact, the pa- 
tient seemed to be stupid, and became so stiff, that 
we have never seen the body so immovable from 
any other cause. The eyes are so dull that the 
sight is nearly lost." 

11 De Senac mentions in the first edition of his 
Essays, the dangers attending masturbation, and 
states that all who indulge in this vice will be af- 
fected in the flower of their youth with the infirmi- 
ties of age. We can see in the following editions 
why this and other remarks of the same character 
were suppressed. 

" Ludwig, in describing the diseases resulting 
from too frequent evacuations, does not forget that 
of the semen. i Young people of both sexes, who 
indulge in lasciviousness, ruin their health by wast- 
ing strength which was designed to make them 
vigorous, and finally fall into consumption.' 

" De Gotter details the sad accidents arising from 
ih's cause ; but they are too long to copy. We re 
fe * to the work all those who can read the language 
in which it is written. 

" Van Swieten, after quoting the description of 
Hippocrates mentioned above, adds, * I have seen 
all these symptoms, and several o hers, in those ui* 



3] 4 SEXUAL ABUSES. 

fortunate people who indulged in self-ooilutions. i 
have employed lselessly, for three years, all the re- 
sources of medicine, for a young mswi who was 
diseased in consequence of this practice with wan* 
aering, frightful and general pains, with a sensation 
sometimes of heat, and sometimes of cold, in every 
part of the body, but particularly in the loins. 
Afterwards these pains having diminished, his 
thighs and legs were so cold, that although they 
seemed of the natural temperature when touched, he 
was constantly warming himself by the fire, even 
during the warmest days of summer. I noticed par- 
ticularly, all this time, a continual rotatory motion 
of the testicles in the scrotum, and the patient felt 
a similar motion in the loins.' This account does 
not mention whether this unfortunate creature died 
in three years or continued to languish sometime 
longer, which would be more dreadful ; he could not 
have recovered. 

" Kloekof, in a very fine work on the diseases of 
the mind which depend on the body, confirms by his 
observations what we .have already mentioned. ' A 
too great loss of semen weakens all the solid parts ; 
hence arise weakness, idleness, phthisis, tabes dor- 
salis, stupidity, affections of the senses, faintings and 
convulsions.' 

" Hoffman had already remarked thai those 
young people who practise the infamous habit of 
masturbation, lose gradually all the faculties of the 
mind, particularly the memory, and become entire'iv 
unfit for study. 

" Lewis describes all these symptoms. We shall 

translate from his work only what relates to the 

mind. ' All the symptoms which arise from 3x- 

cesses with females, follow still more promptly, ind 

28* 



SEXUAL ABUSES. Sly 

ip ^<Mith the abominable practice of masturbation, 
and 11 is aifiicult to paint them in as frightful colors 
as they deserve : young persons addict themselves tc 
this practice without knowing the enormity of the 
crime, and all the consequences which physically 
result from it. The mind is affected by all the dis- 
eases of the body, but particularly by those arising 
from this cause. The most dismal melancholy, in- 
difference, and aversion to all pleasures, the impos- 
sibility to take part in conversation, the sense of 
iheir own misery, the consciousness of having 
brought it upon themselves, thp ue^essity of re- 
nouncing the happiness of marriage, all affect them 
so much that they renounce the world — blessed if 
they escape suieide.'" % 

The symptoms here given are precisely such as 
are ordinarily seem in cases of self-abuse, but there 
are many others, arising secondarily, which have 
only been recently ascribed to this cause. Idiocy 
and insanity, for instance, and that general failing 
of all the physical and mental powers, affecting 
both tr^e individual and his offspring, which leads 
eventually to the extinction of his family and name. 
It is only of late that proper attention has been di- 
rected to these terrible evils, and that they have be*en 
thought to be at all under our control. Formerly 
they were looked upon as mysterious dispensations 
of providence, much to be deplored, but only to be 
met with patience and resignation. Manv eminent 
writers of the present age have distinctly ^cognised 
the influence of self-abuse, jn the production of 
idiocy, insanity, and constitutional degeneracy, and 
have especially urged the necessity of attending tc 
it when treating those evils. A.mong other recog 



316 SfiXUA^ ABUSES. 

nitions of this kind I have been particularly struck 
with one, a legislative document, in which there ia 
inore wholesome truth told, and more sound reason- 
ing advanced, than in almost all tht medical treatises 
on the subject put together. It is a Report on the 
subject of Idiocy, presented to the Massachusetts 
Senate, by Dr. S. G. Howe, in February, 1848, in 
compliance with a former resolution of that body 
directing such a Report to be made. — I am only 
surprised that such a document so valuable should 
be so little known, and that the Hon. Senators 
should not have seen that their duty was to give it 
as wide a circulation as possible. The influence 
of such a document, from such a source, must have 
been very great, and no doubt wquld accomplish 
more good, in the way of prevention, than all their 
asylums end medical treatment £ould do in the way 
of cure. — In time this and similar Reports will be 
eagerly sought for r and their great value, to the 
public at large, will be universally admitted. ] 
shall quote from the Report, here for the double pur- 
pose of corroborating by it my own statements, and 
also of making it more generally known. 

In speaking upon the necessity that exists for 
boldly approaching this subjeet, notwithstanding the 
prejudice that many persons feel against doing so, 
Dr. H. makes the following forcible and sensible 
remarks : — 

" There is another vice, a monster so hideous in 
mien, so disgusting in feature, altogether so beastly 
and loathsome, that, in very shame and cowardice, h 
hides its head by day, and vampyre-like, sucks the 
very life-blood from its victims by night ; and it 
ttiay perhaps commit more direct ravages upon th* 



SEXUAL APUSES. 3] 7 

strength and reason of those victims than even io, 
temperance ; and that vice i^ 

Self-Abuse. 

"One would fain be spared the sickening task of 
iealing with this disgusting subject ; but, as he who 
would exterminate the wild beasts that ravage his 
fields, must not fear to enter their dark and noisome 
dens, and drag them out of their lair; so he, who 
would rid humanity of a pest, must not shrink from 
dragging it from its hiding-places, 'to perish in the 
light of day. If men deified him who delivered 
Lerna from its hydra, and canonized him who rid 
Ireland of its serpents, what should they do for one 
who could extirpate this monster-vice ? What is 
th-e ravage of fields, the slaughter of flocks, or even 
the poison of serpents, compared with that pollution 
of body and soul, that utter extinction of reason, 
and that degradation of beings, made in God's 
image, to a condition which it would be an insult to 
the animals to call beastly, and which is so often 
the consequence of excessive indulgence in this 
vice ? 

" It cannot be tha.t such loathsome wrecks of hu- 
manity as men and women reduced to drivelling 
idiocy by this cause, should be permitted to float 
upon the tide of life, without some useful purpose: 
and the only one we can conceive, is that of awful 
beacons to make others avoid, — as they would es- 
chew moral pollution and death, — the course which 
leads to such ruin. 

" This may seem to be extravagant language, but 
there can be no exaggeration, for there can be no 
adequate description even, of the horrible condition 



318 SEXUAL ABUSES. 

to which men and women are reduced by this prac- 
tice. There are, among those enumerated in this 
Report, some who not long ago were considered 
young gentlemen ana /aaies, out who aie now 
moping idiots, idiots of the lowest kind ; (cxsi to all 
reason, — to all moral sense, — to all shame ; idiots 
who have but one thought, one wish, one passion,— 
and that is, the further indulgence in the habit 
which has loosed the silver cord even in tneir ea/iy 
youth, which has already wasted, and, as it were, 
dissolved the fibrous part of their bodies, and utterly 
extinguished their minds. 

" In such extreme cases, there is notning left to 
appeal to, absolutely less than there is in the dogs 
4 and horses, — for they may be acted upjn by fear 
of punishment ; but these poor creatures are beyond 
all fear and all hope, and they cumotr the earth 
a while, living masses of corruption. 

" If only such lost and helpless wretcnes existed, 
it would be a duty to cover -hem charitably with 
the veil of concea'ineni, arid Side them from the 
public eye, as things too hideous to be seen : but, 
alas ! they are only the most unfortunate members 
of a large class. They have sunk down into the 
abyss towards which thousands are tending. The 
vice which has shorn these poor creatures of the 
fairest attributes of humanity is acting upon others, 
in a less degree indeed, but still most injuriously; 
enervating the body, weakening the mind, and pol- 
luting the soul. 

u A knowledge of the extent to which this vice 
prevails, would astonish and shock many. It is in- 
deed a pestilence which walketh in darkness, be- 
cause, while it saps and weakens ail the uigher 
qualities of the mind, it so strengthens low cunning 



SEXUA*L ABUSES. 319 

and deceit, that the victim goes on in his habit un- 
suspectc 1, until he is arrested by some one whose 
practised eye reads his sin in the very means wnich 
he takes to conceal it— or until all sense of shame 
is forever lost in the night of idiocy, with which his 
day so early closes. 

" Many a child who confides every tiling else to 
a loving parent, conceals this practice in its inner- 
most heart. The sons or daughters who dutifully, 
conscientiously, and religiously confess themseives 
to father, mother, or priest, on every other subiect, 
never allude to this. Nay, they strive to cheat and 
deceive by false appearances ; for, as against this 
darling sin,— duty, conscience, and religion, are all 
nothing. They even think to cheat God, or cneat 
themselves into the belief that He who is of purer 
eyes than to behold iniquity can still regard ttieir 
sin with favor. 

" Many a fond parent looks with wondering anxi- 
ety upon the puny frame, the feeble purpose, the 
fitful humors of a dear child, and, after trying all 
other remedies to restore him to vigor of body and 
vigor of mind, goes journeying about from place to 
place, hoping to leave the offending cause behind, 
while the victim hugs the disgusting serpent closely to 
his bosom, and conceals it carefully in his ves-tment. 

"The evils which this sinful habit works in a 
direct and positive manner are not so appreciable, 
perhaps, as that which it effects in an indirect and 
negative way. For one victim which it leads doom 
to the depths of idiocy, there are scores and hundred* 
whom it makes shamefaced, languid, irresolute, and 
inefficient for any high purpose of life. In this 
way, the evil to individuals and to the community 
is very great* 



5S<) SEXUAL ABUSES. 

" It behooves every parent, especially those whos* 
children (of either sex) are obliged to board and 
sleep with other children, whether in boarding, 
schools, boarding-houses, or elsewhere, to have a 
constant and watchful eye over them with a view tc 
this insidious and pernicious habit. The symptom* 
of it are easily learned, and, if once seen, shoul* 
be immediately noticed. 

" Nothing is more false than the common doctrine 
of delicacy and reserve in the treatment of this habit. 
All hints, all indirect advice, all attempts to cure it 
by creating diversions, will generally do nothing 
but increase the cunning with which it is concealed. 
The way is, to throw aside all reserve ; to charge 
the offence directly home ; to show up its disgust- 
ing nature and hideous consequences in glowing 
colors ; to apply the cautery seething hot, and press 
it in to the very quick, unsparingly and unceasingly. 

" Much good has been done, of late years, by the 
publication of cheap books upon this subject. They 
should be put into the hands of all youth suspected 
of the vice. They should be forced to attend to 
the subject. There should be no squeamishness 
about it. 

" There need be no fear of weakening virtue by 
letting it look upon such hideous deformity as this 
vice presents. Virtue is not salt or sugar to be 
softened by such exposure ; but the crystal or dia- 
mond that repels all foulness from its surface. Ao- 
quaintance with such a vice as this, — such acquaint* 
ance, that is, as is gained by having it held up 
before the eyes in all its ugliness, can only serve to 
make it detested and avoided. 

"Were this the place to show the utter fallacy 
of the notion chat harm is done by *alking or wnu i$ 



SEXUAL ABUSES. 



32V 



to the young about this vice, it could probably be 
done by argument, certain. y by the relation of 
pretty extensive experience. This experience has 
shown that, in ninety-nine oases in a hundred, the 
existence cf the vice was known to the young, but 
not known in its true deformity ; and that, in the 
hundredth, the repulsive character in which it was 
first presented, made it certain* that no further 
acquaintance with it would be sought." 

This is speaking to the point, and Dr. Howe 
never rendered more important service to suffering 
humanity than when he laid down these momen- 
tous truths. 

In another part of the Report the effects of igno- 
ranee are made terribly apparent, not only upon the 
unfortunate victim, but also upon society at large, 
and it is plainly shown what danger every one runs 
while that ignorance exists. 

"In some families which are degraded by 
drunkenness and vice, there is a degree of combined 
ignorance and depravity, which digraces humanity. 
It is not wonderful that feeble-minded children are 
born in such families ; or, being born, that many 
of them become idiotic. Out of this class domestics 
are sometimes taken by those in better circum- 
stances, and they make their employers feel the 
consequences of suffering ignorance and vice to exist 
xi the community. There are cases recorded in 
'he appendix, where servant- women, who had the 
charge of little girls, deliberately taught them 
habits of self-abuse, in order that they might ex- 
haust themselves, and go to sleep quiety ! This has 
happened in private houses as well as in thf 



322 SEXUAL ABUSER. 

almshouses ; and such little girls have beoomf 
idiotic I 

H The mind instinctively recoils from giving ere- 
dit to such atrocious guilt ; nevertheless, it is there 
with ail iis hideous consequences ; and no hiding 
of our eyes, no wearing of rose-colored spectacles, 
— nothing but looking at it in its naked deformity, 
will ever enable men to cure it. There is no 
cordon sanitaire for vice ; we cannot put it into 
quarantine, nor shut it up in a hospital ; if we allow 
its existence in our neighborhood, it poisons the very 
air which our children breathe. 5 ' 

These remarks apply also to our .public schools, 
in most of which this vice prevails to an alarming 
extent, and sometimes in the most open manner. I 
have been myself amazed at the revelations made 
to me on this subject, both by teachers and pupils, 
and clearly enough has it been proved, to my satis- 
faction, how that shunning of the subject, which 
many so systematically practise, leads directly to 
the production and continuance of the vice. 

In some few cases masturbation is learned acciden- 
tally, or a knowledge of it. arises spontaneously, but 
in a vast majority of instances it is taught, and 
hence the great importance of preventing, if pos- 
sible, those who are addicted to it from contamnating 
those who are innocent. Dr. Howe remarks : 

" There is one remarkable and valuable fact po 
be learned respecting this vice, from observation of 
idiots, and that is, that some of them, though they 
have no idea of right and wrong, no sense of shame, 
1 and no moral restraint, are nevertheless entirely 
free from it. They could never have been in the 



SEXUAL ABTTSRS. go 3 

practice of it, else thev *vould never have aban. 
doned it. 

" Frorh this may be inferred, that it is a pest ge- 
nerally engendered by too intimate association of 
persons of the same sex ; that it is handed from one 
to another like contagion ; and that those who are 
not exposed to the contagion are n;t likely to con- 
tract the dreadful habit of it. Hence we see, that 
not only propriety and decency, but motives of 
prudence, require us to train up all children to 
habits of modesty and reserve. Children, as they 
approach adolescence, should never be permitted to 
sleep together. Indeed, the rule should be, — not 
with a view only to preventing this vice, but in 
view of many other considerations, — that, after the 
infant has left its mother's arms, and become a 
child, it should ever after sleep in a bed by itself. 
The older children grow, and the nearer they ap- 
proach to youth, the more important does this be- 
come. Boys even should be taught to shrink sensi- 
tively from any unnecessary exposure of person 
before each other ; they should be trained to habitg 
•of delicacy and self-respect ; and the capacity 
which nature has given to all for becoming truly 
modest and refined, should be cultivated to the 
utmost. Habits of self-respect, delicacy, and re- 
finement, with regard to the person, are powerful 
adjuncts to moral virtues ; they need not be confined 
to the wealthy and favored classes ; they cost no- 
thing ; on the contrary, they are the seeds which 
may be had without price, but which ripen into 
fruits of enjoyment that no money can buy.'' 

In the present state of society H is almost impos. 
9ible. unfortunately, o prevent children from beinf 



324 SEXUAL ABUSES. 

taught this vioy, either practically or Dy verbal 
instruction, and it is, therefore, necessary to guard 
them against it by timely information and warning. 
Even if he be strictly kept from vicious associates 
the child may learn the habit himself, and may sink 
and die from it while the parent is glorifying him- 
self on the success of his precautions. 

In the article on Insanity in Copland's Dic- 
tionary of Practical Medicine, the author, in point- 
ing out the various causes of that terrible affliction^ 
speaks in the following terms respecting self-abuse : 

" Many, however, of those causes, which thus 
affect nervous energy, favor congestion on the brain, 
and occasion disease of other vital organs, tending 
to disorder the functions of the brain sympathe- 
tically. Of these, the most influential are mastur- 
bation and libertinism, or sexual excesses, sensuality 
in all its forms, and inordinate indulgence in the 
use of intoxicating substances and stimulants. The 
baneful influence of the first of these causes is 
very much greater, in both sexes, than is usually 
supposed ; and is, I believe, a growing evil, with 
the diffusion of luxury, of precocious knowledge, 
and of the vices of civilization. It is even more 
prevalent in the female than in the male sex ; and 
in the former it usually occasions various disorders 
connected with the sexual organs — as leucorrhcea, 
displacement of the uterus ; difficult, or disordered, 
or suppressed, or profuse menstruation ; both regu 
lar and irregular hysteria, catalepsy, ecstasis, ver- 
tigo, .various states of disordered sensibility, *fec, 
before it gives rise to mental disorder. In both 
sexes, epilepsy often precedes insanity from this 
jause ; and either it or general paralysis often com- 



SEXUAL ABUSES. 325 

plicates the advanced progress of the mental disor- 
der, when thus occasioned. Melancholia, the 
•everal grades of dementia, especially imbecility 
and monomania, are the more irequent forms of de- 
rangement proceeding from a vice which not only 
prostrates the physical powers, but also impairs the 
intellects, debases the moral afFections, and altogether 
degrades the individual in the scale of social exis- 
tence, even when manifest insanity does not ari*e 
from it." 

Some persons think that masturbation produces 
only the same effects as natural excess, and in no 
greater degree, but this is a great mistake. There 
is the same exhaustion of the semen in both cases, 
but in self-abuse it is not accompanied by those 
natural associations that bring it about in a pleasing 
manner, and leave afterwards a feeling of satisfac- 
tion. On the contrary it is induced almost wholly 
by a powerful exertion of the imagination alone, 
aided by manual means that are felt to be inappro- 
priate, so that the act itself is but a very imperfect 
gratification, and the feelings that follow it are 
rather those of disgust and remorse than of plea- 
surable recollection. The facility with which the 
habit can be indulged also leads to its frequent 
repetition, and as the concurrence of a second party 
is not necessary there is nothing to prevent its 
growing and becoming fully confirmed. In fact 
the individual becomes a slave to a vice that he 
himself despises, and which he feels is destroying 
him. The mpn'al tortures of remorse, fear, and 
gelf-condemnation are then added to bodily exhaus- 
tion, and we n^ed not wonder at the fearful havoa 
they produce. The licentious debauchee will often 



SEXUAL ABtfSES. 

look back with a species of pride and vain-glory 
upon his numerous indulgences, even when he feels 
they are killing him, and he may even feel over 
again, by recollection^some of his former pleasures, 
but for the victim of masturbation there is not even 
this small solace. His pleasure is but incomplete 
at best, and clouded by dissatisfaction, while the 
recollection of it only excites disgust and fearful 
apprehensions. 

In fact the evil effects of excessive natural in- 
dulgence, particularly the mental ones, bear no 
comparison, for severity, with those of self- abuse, 
nor are they nearly so numerous and varied. Na 
tural indulgence, it must also be recollected, cannot 
oe practised so frequently as masturbation, and 
consequently it can never cause such extensive 
mischief. It is but seldom that natural excesses 
cause insanity or idiocy, except secondarily in the 
offspring, but solitary vice frequently do^s so, both- 
in the individual and in his children. 

In the Massachusetts Report it is stated that 191 
of the idiots examined were known to have prac* 
tised masturbation, and in 19 of them the habit was 
even countenanced by the parents or nurses ! — 118 
of this number were males, and 75 females. — In 
420 who were born idiots, 102 were addicted to 
masturbation, and in 10 cases the idiocy of the 
children was " Manifestly attributable to self-abuse 
in the parents /" These 10 known cases it should 
also be recollected justify the conclusion that there 
are really many more, though not ascertained, and 
make it clear that much of the idiocy found among 
children, both mental and moral, is owing to sexual 
vice in the parents! What a fearful fact is this to 
contemplate, and how important that it should be 
# 29 



SEXUAL ABUSES. 327 

duly weighed, both by the moral reformer and 
legislator. 

In the Annual Reports of the Massachusetts State 
Lunatic Asylum, are also some valuable statistics, 
showing the connection between masturbation and 
insanity. In the Twelfth of these Reports, I find 
that the number of cases existing in the Institute 
caused by self-abuse is set down at One Hundred 
and Thirty-nine, and yet great pleasure is expressed 
that the vice has "fewer victims than formerly" 
The decrease in the number is attributed, and justly, 
too, I have no doubt, if there be a decrease, to " the 
information that has been diffused on the subject, 
and the warnings that have reached the young 
through the various channels of intelligence that 
have been opened on this hitherto obscure subject." 

In the Thirteenth Report One Hundred and Forty- 
five cases are set down as caused by masturbation, 
and some very forcible remarks are made on the 
subject which I think it will be useful to copy. 

" The causes of insanity may be divided into t?o- 
luntary and involuntary. Of the former, the princi- 
pal are intemperance and the secret vice, other causes 
may be of this class, such as hazardous speculation, 
many religious vagaries, imprudent exposures, and 
irregularities. None are so prominent as the two 
first named, and none so fully stain the character 
with guilt, which even the occurrence of hopeless 
disease can hardly wipe away. Intemperance dis- 
orders the senses, and induces apoplexy, epilepsy 
and palsy. The cases from this cause are about as 
favorable for recovery as the majority of others, but 
are most sure to return if the habit of intemperance 
recurs. The secret vice produces the very worsi 



S2S SEXUAL ABUSES. 

form of insanity, because it is so difficult to aroia 
the continuance of- the cause, and because the ener- 
gies of the system are more prostrated by it than by 
almost any other cause. Such patients become de- 
graded animals, so entirely abandoned to the habit, 
that hopeless dementia and drivelling idiocy gene, 
rally follow. A few can be influenced to abandon 
the practice, and a few others can be cured in spite 
of it ; but in almost all cases the disease will be- 
come worse, and these dreadful consequences will 
ensue. 

" The secret vice, though doubtless a frequent 
cause of insanity, and of other severe and fatal dis- 
eases far more than is generally supposed, is most 
operative in preventing recovery from insanity, 
arising from this and other causes. It is extensively 
and alarmingly the result of an active propensity ex- 
cited by disease and unrestrained by reason, moral 
influences or self respect. Many cases of a favora- 
ble character progress towards recovery till this 
practice is commenced, then the patient becomes 
listless, is inclined to lie down or sit in a bent posi- 
tion, walks moderately, looks feeble and feels weak 
and miserable. His mind loses its energies, its 
scope is circumscribed, more and more, till this 
beastly indulgence occupies all his thoughts, and 
the remnant of all the physical powers are concen- 
trated to this single effort of gross and deoased ani- 
mal nature. Thus the grovelling sensualist live* 
often a long life a degraded sufferer, without a 
manly thought or a moral feeling worthy 01 his 
nature or his destiny, and finally leaves the world 
without the regret of his friends, a useless, bur- 
thensome, loathsome object of abhorrence and 
disgust." 



SEXUAL ABUSES 32f 

In the two Reports, under the head of " Relation 
of Cause to Recovery," J find tufo hundred and se- 
vemy-one males enumerated, and twenty-one females, 
from masturbation and its effects ; and of this num- 
ber one hundred and ninety-seven males and twenty* 
teven females were incurable! — Only two of the 
females it will be observed being curable. 

These Reports also throw much valuable light on 
the relation between Masturbation, as a cause of 
Insanity, and different occupations. 

Some persons express fear that if this subject be 
generally discussed, and all are informed about it, 
that this very publicity will increase the evil, by 
exciting an amount of attention that would not other- 
wise have been given to it. The fallacy of this 
will be evident enough, to all those who are ac- 
quainted with the nature and extent of the vice. It 
is next to impossible to prevent its being known, 
either naturally or from tuition, and, therefore, no 
harm can possibly result from proper information 
timely given, while on the other hand, numbers un- 
doubtedly perish for want of it. 

If it were true that a knowledge of the nature 
and consequences of this habit tends to its being 
practised, we ought to find it most prevalent amongst 
those who have most of that knowledge, and least 
ho amongst those who have the least of it. The 
truth is, however, directly the reverse, as every sen- 
eible person would pre-suppose, and as facts indubi- 
tably prove. Those who are educated as physi. 
cians of course study everything relating to the 
sexual system, and are acquainted with all its de- 
tails, while mechanics, generally speaking, never 
study anything of the kind, because it is not neces. 
*ai} for them to do so. Now, let us see what pro* 



330 SEXUAL ABUSES. 

portion of the Insane, from both these classes, are 
made so by masturbation. 

In the Thirteenth Annual Report I find that there 
are in the asylum sixty-two shoemakers, of whom 
twenty-four were made insane by masturbation, 
which shows that of the insanity existing in this 
class of the population, who certainly receive but 
iittle of this kind of information, near y fifty per 
cent., or one-half, arises from self-abuse ! — Now 
what is the proportion when we reler to the medica. 
profession ? I can find physicians made insane by 
other causes, but neither in that Report, nor in the 
one for the preceding year, do 1 find a single case 
of one becoming insane from masturbation ! These 
facts, so far from proving what some assert, that an 
intimate acquaintance with the physiology of the 
sexual system leads to its abuse, prove directly the 
reverse, and show conclusively that the best hi 
formed go the least astray. 

Other facts in the same Report also show that it 
is precisely this kind of knowledge that is needed, 
and that no other will either lead the thoughts from 
it nor fortify against it. Thus among students the 
proportion of insane from masturbation is nearly 
seventy-Jive per cent., there being eighteen from this 
cause out of twenty-five ; the balance of the cases 
being two from ill health, two from domestic afflic- 
tion, two from religion, and one from epilepsy. 
Amtrfig merchants the proportion is about fifty per 
cent. ; among lawyers, about thirty-three per cent. ; 
and among clergymen fifty-six per cent. ! 

The most frequent cause of insanity is set down 
as intemperance, but in numerous cases this has 
been first produced by masturbation, the patient re- 
sorting to alcoholic and other stimulants, merely a* 



SEXUAL ABUSES. 33 \ 

a temporary relief from the exhaustion produced 
by this practise. Ill health is also another frequent 
caufce, and how often this arises from self-abuse ia 
well known. In short there is no doubt on my 
mind, after duly considering all the facts, that soli- 
tary vice produces more insanity than all other causes 
put together f 

Another valuable fact also shown in these reports 
is the influence of occupation in leading to solitary 
vice. It is proved conclusively that light sedentary 
employments very much favor the formation of such 
habits, and that on the contrary active out-of-door 
occupation has the contrary effect. Thus among 
" merchants, printers, students, and shoemakers," 
fifty per cent of the insanity arises from masturba- 
tion, and only twelve per cent from intemperance ; 
while among carpenters, blacksmiths, and others 
who are actively employed, thirty -Jive per cent of 
the insanity arises from intemperance and only thir- 
teen per cent from masturbation. Among seamen 
again jifiy-four per cent of the insanity arises from 
intemperance, and only eleven per cent from soli- 
tary vice. — -These facts should be duly weighed by 
parents when choosing employment for their sons. 
Many a youth of sanguine temperament, urgently 
requiring muscular and mental occupation of the 
most varied kind, is condemned to the monotonous 
inactivity of a counting-house desk, the distasteful 
plodding of an office or some merely intellectual 
profession, and in consequence becomes listless, 
dogged, and self-debased. In such cases the abun- 
dant vital energy, that ought to have been expended 
in active exertion, is retained, and, by stimulating 
the sexual organs to an unnatural degree, leads tp 
•olitary vice both as a gratificati >n and a relief. 



832 SEXUAL ABUSES. 

The effects of masturbation most frequently met 
with are weakness of the eyes, swelling and sore, 
ness of the eyelids, partial deafness, weakness of the 
limbs and back, headache, dizziness, fiaiuience, in- 
continence of urine, diarrhoea or obstinate eostive- 
ness, palpitation of the heart, shortness of breath, 
loss of memory, and confusion of judgment, with 
melancholy or irritable peevishness. Another effeei 
also met with in many cases, is a partial loss of tJte 
power of speech or a tendency to stammer and stutter. 
This effect I have often observed in persons who 
had previously spoken as fluently as any one, ?,nd 
who could not imagine themselves what the diffi- 
culty arose from. Most frequently it is attributed 
simply to that loss of self-confidence, and that feel- 
ing of shame, which all self-abusers experience^ and 
no doubt this does make it worse, but still the mam 
cause of the impediment is a partial paralysis of the 
muscles of the throat, brought on by sympathy with 
the irritated parts below. Not unfrequently there 
is more or less difficulty in swallowing at the same 
time, with frequent sighing and gulping, as if there 
was wind in the throat. In fact this class of symp- 
toms are very similar to those observed in the hys- 
teria of females, with which they are, to a grea* 
extent identical, both in nature and origin. 

Baldness is also a frequent occurrence to those 
who practise masturbation, and so is prematura 
whitening of the hair. 

Palsy and Epilepsy are more frequently the re- 
sufts of this practise than is usually thought, and 
Paralysis is quite commonly so. I have known 
many instances of young men becoming tempora- 
rily paralytic from excessive self-abuse, and very 
recently I was called to see an old man who waa 



SEXUAL ABUSES 333 

■tying from paralysis brought on In this way. 
These affections, though severe, need not be won* 
dered at when the powerful sympathies of the gen- 
erative organs are borne in mind, and when it 13 
recollected what an exhaustion of the vital power is 
caused by their excessive action. 

The best way, however, to exhibit the full effects 
of this baneful vice is to give a few illustrative 
cases, which will not only portray the prominent 
symptoms but also indicate the course of treatment 
usually adopted. Some of them are contributed by 
M. Lallemand, and others I have selected from my 
own note- book. 

" M. D , of Philadelphia, of a very robust 

constitution, contracted the habit of masturbation 
while at school, when only eight years old. The 
first effect produced, was a frequent desire to pass 
urine, and at twelve years of age this irritability 
had become so great, that he was sometimes unable 
to retain his urine a quarter of an hour. Before 
entering a house he always took care to micturate 
several times in rapid succession ; and, notwith- 
standing this precaution, he soon experienced re- 
newed uneasiness. He felt as though his bladdoi 
was never entirely empty, and the smallest quantity 
of urine induced spasmodic contractions. The ir- 
ritability of the urinary organs diminished by 
degrees after the period of puberty, but never 
ceased entirely, notwithstanding the various means 
which were employed on different occasions. 

" At the age of sixteen, M. D — endeavored 

to break off his injurious habits by sexual inter- 
course, but he found himself completely impotent, 
and sUame induced him to return to masturbation. 



334 SEXUAL ABUSES. 

He afterwards made further attempts to correct 
himself, but he experienced nocturnal pollutions, 
which often made him lose courage. At lengthy 
after many relapses, he succeeded completely, 
without observing any further nocturna4 emissions. 
Still his health, instead of improving, became more 
fend more impaired. His erections were less fre- 
quent, less prolonged, incomplete, and at length, 
gradually ceased, together with all venereal desire, 
, " At the age of twenty-eight, the state of his 
urine, its frequent discharge, and the wandering 
pains in the perineum and testicles, induced a fear 
of calculus ; sounding, however, only showed a 
morbid sensibility of the urethra, especially towards 
the neck of the bladder. 

" In the beginning of May, 1837, M. D 

came to Montpelier, in the following condition : — 
much debilitated ; unsteady in his walk ; easily 
chilled, and taking cold very quickly ; wandering 
pahis all over his body ; skin dry ; memory im- 
paired i digestion difficult extremities cold ; scro- 
tum relaxed, and testicles soft, very sensitive, and 
often causing a dull pain, as if they were forcibly 
compressed ; the semen (from the account he gave 
of the last nocturnal pollutions he had experienced,) 
clear, aqueous, and inodorous ; seminal emissions 
with the last drops of urine, which were clammy, 
and passed with difficulty, and excited a sensation 
of tickling in the neighborhood of the anus, which 
extended to the orifice of the urethra ; he often hud 
diarrhcea, but, at other times was very costive, and 
his stools were passed with difficulty and pain. Ha 
did not, however, often pass semen while ai stool. 

\* I discovered, several days following, the pre- 
sence of semen in M. D 's urine, and cathe. 

30 



SEXUtL ABUSRS. 035 

lerism showed an excessive irritability of the 
urethra, especially in the neighborhood of the pros- 
tate, which, on examination, was found slightly en- 
larged. Nearly a table-spoonful of blood followed 
the withdrawal of the catheter. The circumstances 
did not leave the least doubt on my mind as to the 
state of the mucous membrane in the vicinity of the 
ejaculatory ducts ; and, consequently, I imme- 
diately performed cauterization, from the neck of 
the bladder, as far as the membraneous portion of 
the urethra. Twenty days afterwards, M. D~— 
left Montpellier for Italy, and when he returned, 
three months afterwards, he was completely cured 
— no involuntary seminal emissions having after- 
wards appeared. His urine was transparent, and 
could De retained seven or eight hours without in 
convenience ; its discharge took place without ef- 
fort, and was not accompanied by any remarkable 
sensation. Lastly, the patient's impotence, which 
had been present nearly twelve years, had given 
place to a virility previously unknown to him : I 
need haruly state that his physical and moral energy 
had shared in this regeneration. 

44 1 have often had occasion to notice the connex- 
ion that exists between the spermatic and urinary 
organs ; and I have shown that there is scarcely a 
cause of spermatorrhoea which does not act more or 
less on the bladder and kidneys. The cause I am 
now investigating affords us numerous examples of 
this connexion — of which the case I have just 
related, is a remarkable instance — the irritation of 
the urinary organs having been developed very ra- 
pidly, having shown very marked symptoms, and 
having existed alone during several years. The 
patient was only eight years of age when he firs 



•536 SEXU.1L ABTTSES. 

became addicted to masturbation ; at this early age 
the urinary organs alone possessed activity, and 
therefore they alone were able to suffer disturbance 
of their functions ; on this account the symptoms 
were confined for a long time to the urinary organs. 
The character of the symptoms showed cnat they 
arose from a chronic state of inflammation, or from 
an acute irritation of the urinary organs, and thia 
state must have extended also towards the spermatic 
organs. Thus the increased secretion of the kid 
neys. and the extreme irritability of tne bladder, 
would give a very clear idea of what took place in 
the spermatic organs at the period of puberty, As 
soon as the testicles began to act, they fell under the 
same influence as the kidneys ; the seminal vesicles 
were in the same condition as the bladder ; in other 
words, the semen was secreted in large quantities, 
and was retained a very short time in its reservoirs. 
Being therefore imperfectly formed, the usual effect 
on the erectile tissues produced by its presence, did 
not take place, and coitus was impossible at the age 
of sixteen. The occurrence of impotence at so 
early an age is sufficient to show that diurnal pollu- 
tions had already commenced, although the patient 
did not. discover them for a long time afterwards. 
He was still, however, able to practise masturba- 
tion ; and this is a circumstance which has great 
effect, in preventing persons addicted to the vice, 
from renouncing their fatal habits. At a later 
period, nocturnal pollutions, which occurred after a 
few cays' care 5 shook the patient's resolution. This 
is a much less serious circumstance than the one 
just mentioned, but at the same time much mom 
common. At length the patient left off his habits, 
and his nocturnal pollutions disappeared ; yet th# 



SEXUAL ABUSES. 



331 



disorder of his health continued to increase. His 
prudence, exercised too late, did not arise from the 
strength )f his will, but from the weakness of his 
genital organs ; the disappearance of his nocturnal 
emissions did not arise from the remedial measures 
used, but from the increase of his involuntary 
diurnal discharges, of which he omy became aware 
long afterwards. These common errors are the 
more dangerous, because medical practitioners are 
apt to participate in them. 

" In the case of M. D — the irritability of 

the canal was very great, and the effect of the 
cauterization was correspondingly prompt and de- 
cided." 

The above case is a highly instructive one, be- 
cause it shows both how early the habit of mastur- 
bation may be commenced, and also what a general 
disturbance of the economy it may lead to. The 
following case is also a very important one, and 
shows how very 'readily the symptoms of Sperma- 
torrhoea may be thought to indicate other diseases, 
and what mistakes may be made in consequence : 

" I am indebted for the following remarkable 
case to the kindness of Dr. Daniel, ui Cette. * On 

the 26th of May. 1836, I was called to ? — -, a 

baker, aged twenty-two ; I found him in bed, in the 
following condition : — great moral prostration, car- 
ried even to a hatred of existence ; prostration of 
strength ; anaemia ; lips pale and shrivelled ; re. 
markable pallidity ; eyes sunken ; expression of 
countenance dull ; great emaciation ; skin hot and 
dry ; pulse small ; voice hoarse, and so low that it 
wafe with difficulty a few words could be heard 



$38 SEXUAL ABUSES. 

by approaching the ear ; constant cough, scarcely 
permitting an instant's repose ; general wandering 
pains, most severe in the loins, and the sides of the 
chest ; great irritability of the stomach — vomiting 
being excited after taking almost any kind of liquo* 
or solid food. 

" At first I thought that I recognised in this patient 
the symptoms of phthisis laryngea, complicated with 
chronic gastritis ; but the examination of his chest 
and abdomen did not support this opinion. The 
epigastric region was not painful on pressure ; the 
respiratory murmur was heard all over the chest, 
and percussion emitted a healthy sound, except 
under the left false ribs, where it was slightly dull, 
and the patient felt pain. 

" His debility did not permit me to 'practise ab- 
straction of blood ; and indeed, the pleuropneumonia 
of the left side did not seem either very extensive 
or very acute ; I therefore ordered a large blister to 
be applied over the affected spot, and prescribed a 
solution of tartar emetic, and a strict diet. The 
pain in the side disappeared, and two days after- 
wards, the stomach could retain milk and barley- 
water. Still nothing explained the patient's ema- 
ciation ; his almost total loss of voice, hoarseness, 
and constant cough. His* parents attributed these 
symptoms to hereditary phthisis, and mentioned that 
several members of the family had died of tnat dis- 
ease. Minute and repeated examination of F 'a 

chest, however, assured me that this was not the 
case. On the other hand, the symptoms were very 
severe, and I could not discover any visceral lesion 
sufficient to account for them. In this state of un- 
certainty, your views on spermatorrhoea attracted 
my attention. I immediately questioned the patient 
30* 



SKXUAl ABUSES. . 33© 

Iwecting his past life, and learnt that at .he age of 
s^renteen, he practised masturbation with such fury 
that fie had frequently passed aqueous semen, mixed 
witn blood : frightened by these accidents, he had 
corrected himself completely. But, after about a 
fortnight s abstinence, he noticed that his urine con- 
tamed a deposit of thick, whitish, flocculent matter. 
He never attached any importance to this, although 
during four years, he observed it constantly, and 
noticed that it was more abundant after he had been ' 
much fatigued in his business. He observed also, 
that the last drops of urine were thick and viscid, 
and that a small quantity of viscid matter generally 
remained at the orifice of the urethra. His bad 
symptoms first commenced at this time ; his erec- 
tions and desires entirely disappeared ; and, by the 
time he had attained the age of twenty-one ; he was 
obliged to give up his employment, and shortly 
afterwards, his symptoms becoming aggravated he 
was unable to quit his bed. 

" I examined his urine, and found it in the condi- 
tion he had described ; the deposit contained m v 
being about an ounce in quantity. I noticed that 
his testicles were soft, and his scrotum flaccid. Fe 
agreed to my proposition of cauterizing the prosta- ' 
tic portion of the urethra, with eagerness, and I 
performed it on the following day. The effect of 
the cauterization was rapid : the second night after, 
wards, the patient slept soundly ; the third day a 
Change was observed in his voice ; and erections 
orcursed during the night. On the fourth day. the 
patient was able to get up and. take some light food, 
which was well digested ; his wandering plains had 
disappeared ; and, by the ninth day after the can- 
fcnzation, the patient's strength had returned. 



340 

CHAPTER Xii. 

EROTOMANIA ANB SATYRIASIS 

These two affections are usually confounded 
together, but there is considerable difference in 
• their nature, though their manifestations are similar 
In both of them there is^an unnatural excitation of 
sexual desire, so that it sometimes becomes utterly 
uncontrollable, and gratification is sought at any 
cost. In these cases there is a real furor, or mad- 
ness, which arises from disease, and is not a mere 
moral aberration, as uninformed people suppose. 

Satyriasis arises from a disease of the sexuai 
organs or of some of the adjoining parts, which 
keeps them in a. constant state of irritation, some- 
times so great that the patient cannot obtain the 
slightest relief, either sleeping or awake, but is kept 
the whole time in a state of furious excitement. 

The diseases that are most likely to produce 
Satyriasis at 3 those of the urethra and prostate 
gland, though sometimes gravel, or even the piles 
will originate it. Dr. Curling remarks that " The 
irritation attending the morbid condition of the 
mucous membrane of the prostatic portions of the 
urethra, tends, in a very material degree, to excite 
both the excessive seminal discharge and the secie. 
tions of the prostate, and to produce that morbid 
craving for indulgence and abuse, which persons 
who have brought themselves to this state find so 
difficult to repress and resist. It is well known 
that any irritation at the orific of an excretory duci 



MORAL DERANGEMENT*. 341 

usually acts as a stimulus to the secieticn of the 
gland. Thus hurtful matter in the duodenum pro 
rtuces a flow of bile ; and a foreign bodv in the con- 
junctiva, as an inverted eyelash, a discharge of 
tears. So it is with the Testes, when irritation ex- 
ists at the Orifices of their excretory ducts. The 
disorder at this part, moreover, appears to react on 
the brain, and to become in part the cause of the 
patient's mind being constantly occupied with sub- 
jects of sexual excitement, and of his indifference 
and apathy to other matters. So that the local dis- 
ease induced by abuse powerfully aids in perpetu- 
ating the mischief, and, judging from the experience 
which I have had in these cases, is the object to 
which our treatment should be first directed. 

In many of these cases it is of no use reasoning 
with the patient, and telling him to control himself, 
unless the exciting disease be also corrected ; it 
would in short be of little more use than telling him 
he must not give way to a diarrhoea or any other 
morbid action. In a note in Dr. Curling's work 
this truth is well laid down, and applied to a class 
of cases for which usually no excuse is thought tc 
exist. The writer says, " This is a truth, I fear, 
not sufficiently impressed on the minds of medical 
men. One would be loath to offer any apology for 
the vicious habits and indulgences to which, it is 
well known, old men are occasionally addicted, — a 
melancholy example of the kind, in the higher ranks 
af life, having lately been brought under public no- 
dee. I cannot but think, however, that, in many- 
instances, these cases are not undeserving of profes- 
sional sympathy, and that the erotic longings which 
iometimes continue to distress the aged, long afte;* 
the period at which, in the course of nature, they 



342 MORAL DERANGEMENTS. 

should have ceased, depend as mueft on physical in. 
firmity as mental depravity, the former inciting and 
producing the morbid desires. If these propensities 
were regarded and treated as symptoms of disease, 
(and that they frequently occur in connexion with 
affections of the urinary passage is well known to 
practical surgeons), I believe they would often sub- 
side, and the distressing results to which they lead 
would be altogether avoided." 

The same remarks also apply tu ©very other pe- 
riod of life, and especially to youth, as every physi- 
cian of experience in such matters must be well 
aware. I know that, in numerous instances, the 
sexual feelings of young persons are preternaturally 
excited by local disease, and that their genital 
organs are thus kept in a state of excitement by 
causes over which they have no control. This fact 
should be kept always in view when considering 
such cases, and we should recollect that a medical 
prescription may often accomplish reform, when a 
moral precept has failed, of which the foregoing 
Chapters of this work will furnish many illustrations. 

I was once consulted by a married man, the father 
of a family, whose habits had always been strictly 
moral and proper, but who suddenly found himself 
subject to occasional fits of the most intense sexual 
excitement, over which he had but little control. 
So completely was he the slave of his morbid feel- 
ings, in fact, that it was with the greatest difficulty 
he kept himself from the most disgraceful and licen- 
tious indulgence. He had latterly shut himself up 
alone when one of these fits came on, and was at 
other times in constant fear that he should sometime 
or other ruin his reputation for ever, even if he did 
nothing more serious. The condition of this man 



MORAL DERANGEMENTS. 543 

*as truly pitiable, subject as he was to a state of 
misery for which, if it were known, he would re* 
ceive condemnation instead of sympathy. " Every 
one would tel'l me," he remarked, with tears in his 
eyes, " that it was disgraceful, and that I ought not 
to give way to it, but I cannot help it though it were to 
save my life, and I have sent for you because I think 
you must understand my true position. " — I found 
on examination that this gentleman was affected 
with a chronic inflammation of the prostate gland, 
and lower part of the urethra, which was liable, 
from various slight causes, to become temporarily 
worse, and to produce that excitation of the genitals 
above described. He distinctly remembered that 
before each of the fits he had either taken some se- 
vere exercise, or been subject to some unusual men- 
tal agitation or perhaps had committed some error 
in drink or diet, which seemed to bring it on. But 
of late the parts had become so extremely sensitive 
that the simplest excitement, of any kind, brought 
on afl attack, and it was scarcely possible for him to 
avoid one long together. 

I immediately informed him of -the cause of his 
trouble, and as it was not the result of abuse of any 
kind, and apparently not unusually severe, I felt 
justified in promising him relief, and immediately 
put him under proper treatment. — The diet and 
drink were rigidly regulated, bathing and regular 
exercise enjoined, and a tonic of Iron and Gentian 
administered. I also found it necessary to use the 
caustic internally, and to advise astringent lotions, 
with occasional injections to keep the bowels free. 
Under this treatment the irritation soon began to 
subside, and in two months he had no return of his 
eroiic fits — Now if this man had committed son*© 



544 «ORAL DERANGEMENTS. 

gross immorality during one of these periods of en. 
citement, it would have been considered merely as 
the result, of moral depravity, and nothing would 
have been thought of but punishment, instead of me- 
dical treatment. — It is unfortunately true that moral 
depravity is often the only cause of such improper 
actions, and then they ought to be visited accord- 
ingly ; my object here is not to apologize for any. 
thing of that kind, but simply to show that there are 
often other cases, of a totally different character, 
which should be considered in a different light. 

Satyriasis is very apt to follow from the first at- 
tempt at masturbation and from excessive indulg- 
ence, particularly in those who use stimulating food 
or drink. — I have also known tobacco and opium to 
bring on an atttack, and still more frequently cer- 
tain medicines when improperly used, such as can- 
tharides and phosphorus. 

Erotomania differs from Satyriasis as respects the 
seat of the disease, which in this case is in the brain, 
and not in the genitals, they being affected only se- 
condarily. It is in fact a species of mania or insa- 
nity in which tjie mind is constantly occupied with 
sexual matters, and a constant morbid desire is ex- 
perienced for indulgence, sometimes even when the 
patient is completely impotent. Dr. Copeland draws 
the distinction between the two diseases very clearly, 
and I will, therefore, quote his words, merely re- 
marking that Nymphomania, to which he refers, is 
merely the same disease in the female as Satyriabii 
in the male : — 

" Erotomania — Monornanie errtique ot Esquirojl 
— is characterized by an excessive love of some object, 
r&zl or imaginary. — It is a mental affection in which 



MORAL DERANGEMENTS. £45 

amorous ideas are as fixed and dominant, as reii 
gious iaeas are in religious monomania 01 melan- 
cholia. Erotomania is very different from satyria- 
sis and nymphomania. In the latter, the mischief is 
in the reproductive organs ; in the former, it is m 
the mind. The one is a physical, the other a moral 
disorder. Erotomania is the result of an exciter 
imagination, unrestrained by the powers of the under- 
standing ; satyriasis and nymphomania proceed from 
the local irritation of the sexual organs, reacting 
upon the brain, and exciting the passions beyond the 
restraints of reason. In the former, there is neither 
indecency nor the want of chastity ; in the latter, 
there is unrestrained expression of sexual desire 
and excitement. The one is commonly caused by 
unratified r disappointed affection excited in a 
virtuous mind ; the other, by inordinate irritation or 
indulgence of the sexual passion. 

" In erotomania, the eyes are bright, the manner 
and expressions tender and passionate, and the ac- 
tions free, without passing the limits of decency. 
Self and selfish interests are all forgotten in the 
devotion paid, often in secret, to the object of the 
mind's adoration. A state of ecstasy often occurs 
in the contemolation of the perfections which the 
imagination attaches to the subject of its admira 
tion. The bodily functions languish during this 
state of moral disorder ; the countenance becomes 
pale and depressed; the features shrunk; the body 
emaciated; the temper inquiet an 1 irritable; and 
the mind agitated and despairing. The ideas con- 
tinually revert to the loved and desired object ; and 
opposition or endeavors to turn them in a different 
direction only render them more concentrated and 
determined in their devotion. At last, parents and 



346 MORAL DERANGEMENTS. 

fortune are abandoned, social ties broken asunder 
and the most painful difficulties are encountered in 
order to obtain the object of admiration. 

" In some cases, the attempts made by the patient 
to conceal and overcome this affection occasion a 
state of irritative fever 3 with sadness, depression, 
loss of appetite, emaciation, &e., which has not in. 
appropriately been termed by Lorry Erotic Fever> 
and which, after continuing an indeterminate period, 
may even terminate fatally. When a young per- 
son becomes sad, absent in mind, pale and emaciated, 
sighs frequently, sheds tears without any obvious 
reason, is incapable of mental or bodily exertion, 
scarcely speaks to any one, loses appetite, &c, it is 
sufficiently evident that the mind is inordinately 
possessed by some desired object. If a strong effort 
be not made to dispossess it of the predominant sen- 
timent, or if the object of desire be not obtained, the 
symptoms become still more distressing. The cor- 
poreal functions languish, the eyes sink, the pulse 
becomes weak and irregular, and the nights dis- 
turbed and sleepless. At last a form of slow hectic 
is produced ; and the weaker organs, especially the 
lungs and heart, are the seat of slowly-produced 
disease ; the whole frame is blighted, and the pa- 
tient sinks from the injurious influence of the men. 
tal affection on the vital organs. 

" This form of moral disorder may increase, and 
affect the intellects in a much more serious manner, 
until general insanity or mania is developed ; and, 
with the progress of time, it may at last terminate 
in dementia or incoherent insanity. In each of 
these, the primary character of the disorder, or the 
original moral affection, will still continue to be 
manifested by the frequent suggestion of the sama 



MORAL DERANGEMENTS. 347 

srain of ideas, or recurrence to the object of 
devotion." 

The treatment of these cases requires great skill 
and experience on the part of the physician, and 
frequently a continued observation for a long time, 
in order to determine what the exciting cause really 
is. It may be wholly moral or wholly physical, or 
it may be partly both, and this must be ascertained 
before any good can be accomplished. The fact is 
philosophy is required as much as physiology, and 
the most perfect confidence must exist between the 
physician and the patient. The affections have 
often much to do with these peculiar troubles, and 
it should not be forgotten that there is a great differ- 
ence in the temperaments of different persons, and 
also in the sensitiveness or impressibility of their na- 
tures. — Those who wish to study the philosophy of 
this curious subject in relation to the other sex, 
should read the articles on Hysteria and Chlorosis in 
my " Diseases of Woman." Some persons always 
recommend marriage in these cases, to single per- 
sons, and there is no doubt but it is sometimes what 
is required, but at other times it is highly improper. 
In certain forms of physical derangement especially, 
marriage would only aggravate the evil, and the 
patient would in all probability ultimately become 
totally unfit for the married state. This advice, 
therefore, if followed, would not only fail of doing 
any good to persons so situated, but wourd make 
two unhappy instead of one. — Jt will be seen that 
lome forms of Erotomania are identical with whai 
is called, commonly, Love Sickness. 

See also the Marriage Guide. 



348 



CHAPTER XI. 

GENERAL HEM AUKS ON THE PRESERVATION AND 
RESTORATION OF THE SEXUAL POWERS 

This Chapter is intended to embrace all those 
items of information, and those interesting facts not 
directly needed in any of the previous articles, but 
which nevertheless it is useful to know. Some of 
these are moral, some medical, and some physiologi- 
cal, and the whole of them will be found highly 
suggestive, as well as directly instructive. It is pre- 
cisely this kind of information that is very fre- 
quently most needed, but hitherto there has been no 
source, except dear-bought experience, from which 
it could be obtained. The grand object of medical 
science should be to prevent disease, if possible, 
rather than attempt to cure it, and such knowledge 
is an important agent in prevention. 

It is unfortunately the case, as our previous arti- 
cles have shown, that the sexual power is liable to 
be impaired, or even totally lost, from a variety of 
causes, and that it is exceedingly difficult of restora- 
tion. There ai;e, however, many apparently simple 
rules which, if duly observed, would prevent much 
of the iniury now experienced, and there are also 
many others equally simple which will often mate- 
riaiiy assist in its restoration. The object of thie 
Chapter is to point out many of these, chiefly in the 
form of suggestions and hints ; the strictly medical 
treatment having been fully entered into already. 

It is very essential to the preservation of th« 



GENERAL REMARKS. 349 

sexual power that the general health should bo 
good, and that there should be no serious derange-* 
rnents of any of the vital functions. When the 
general health is impaired and the vital energies 
are low, the sexual organs are sure to be weakened, 
and usually more in proportion than any of the 
others. Owing to their extensive sympathies also 
they are sure to be affected by the diseases of all 
the other organs, and not unfrequently this sympa- 
thetic injury becomes very serious. The stomach 
particularly exerts a great influence over the gene- 
rative organs, both beneficial and injurious. Long- 
continued dyspepsia is nearly always accompanied 
by weakened sexual power and desire, and even 
temporary attacks of indigestion will, for a time, 
produce similar effects. On the other hand a 
healthy stomach, with perfect digestion and nutri- 
tion, is highly conducive to sexual vigor. We may 
even go much further, and show that high feeding 
is nearly sure to over-excite the genital organs, 01 
in other words that gluttony leads to licentiousness. 
This is a truth too often lost sight of in the education 
of children, many of whom, though predisposed to 
sexual ardor, are stimulated with rich food and ex- 
citing drinks till their passions become overpower- 
ingly strong. — In short the stomach exerts a mosi 
decided sympathetic influence over the generative 
organs, and we are thus enabled, by proper atten- 
tion to the diet and drink, to either increase or 
Weaken their power to a great extent. 

Some kinds of food stimulate the sexual organs 
while other kinds have the contrary effect upon 
them. Shell-fish, as before stated, are usually sti- 
mulating, owing to the phosphorus they contain, but 
other fish have no such power. Flesh-meat is sti« 



250 GENERAL REMARKS. 

Ululating merely because it is nutritious, but it is » 
great mistake to suppose that it is of necessity more 
so than vegetables. There are some vegetables 
that are often more stimulating than flesh, especially 
those that are farinaceous or contain much starch, 
as the potato for instance, which, when of good 
quality, contains most of the elements the body needs. 
Most strong tasted or aromatic vegetables have a 
simulant effect, such as Celery, Parsnips, Onions, 
and Asparagus, especially, and so have all season- 
ing herbs, such as Mint, Sage. Pennyroyal, and 
Thyme. Spices and condiments have a still stronger 
action, especially the Peppers and Nutmeg. — Mush- 
rooms stimulate some people very much, and Truf- 
fles still more, and even Olives exert a marked in- 
fluence at times. The flesh of birds I think is not 
stimulating, except that which is red, such as ducks 
and geese. I have several times been assured that 
eating freely of the Canvass-back duck, when in 
6eason, has been highly beneficial to those who were 
weakened by excess, probably partly from its own 
nature and partly from the wild Celery on which it 
feeds. Of all meats, however, Turtle has the great 
est reputation for exciting the generative organs, 
and I think with good reason. It is undoubtedly 
highly nutritious, and it appears also to contain 
some heating principle, which specially affects those 
parts. 

As a general rule all watery vegetables, such as 
turnips, cabbage, and squash, have no such effect 
as those enumerated, and are therefor proper when 
we wish to keep down excitement. Acid fruits 
also come under the same category, and indeed 
fruits generally, except some highly-flavored ones, 
such as peaches, and pine-apples which are us*. 



GENERAL REMARKS. 351 

doubtedly aphrodisiac, except they disagiee with 
the stomach. 

Tomatoes are rather stimulating, and so are mos* 
kinds of beans, especially the Lima Beans, but 
peas are not so. Wheaten bread or wheaten flou* 
in any^form, is more stimulating than the flour of 
any other grain, while Indian meal is probably the 
least so. When we desire an anaphrodisiac effect 
therefore, Indian bread should be used, with mush, 
gamp or hominy, instead of wheaten bread or pota- 
toes. Rice is unstimulating, but sago, tapioca, and 
arrow-root are the reverse. 

In regard to drinks it may be stated that all alco- 
holic liquors are highly stimulating when first taken, 
but they soon lose their power if used too long or 
intemperately, and then they become injurious. 
Wine nas a more strengthening effect than spirits 
of any kind, and ale or porter is still better than 
wine. Those who desire to keep their passions 
down should not take either wine or malt liquor in 
any quantity. — Most of the cordials in use are highly 
exciting owing to the spices they contain, and so 
are many of the so-called bitters. — Coffee is almost 
as stimulating as wine, and should never be used 
by those who are disposed to involuntary emissions, 
nor by those whose desires are too strong. Tea ig 
different from coffee in this respect, and is therefore 
the better drink in such cases. Milk, though highly 
nutritious, is not stimulating, and it therefore forms 
an excellent drink for those who are disposed to 
emissions or exciting dreams ; such persons, how- 
ever, will do better to use cold water only, and they 
should also avoid all warm fluids, no matter how 
simple, because warm drinks always excite the flow 
of urine, and of course stimulate the sexual organ* 
34* 



g52 GENERAL REMARKS. 

also. Those who cannot use (he cold water only 
may drink soda and mineral waters as much as they 
choose, or lemonade if it agrees with them, none of 
these being in the least degree exciting. 

Next to the stomach, it is important to attend to 
the state of the bowels, as they exercise considera- 
ble influence over the generative organs, and may 
affect them in a very injurious manner. Th^ bad 
effect of piles "has alread) been alluded to, and also 
constipation, but this last disability is of more con- 
sequence than it has perhaps been represented to 
be. No person must expect to escape seminal 
weakness who is habitually constipated, no matter 
how vigorous and healthy the genital organs them- 
selves may appear to be. It is, therefore, very im- 
portant, as a means of preserving sexual vigor, that 
the bowels should be always properly regulated, and 
frequently a little attention to this point is all that is 
needed to complete a recovery. — The opposite state, 
diarrhoea, though ot ourse weakening, is not sd 
decidedly hurtful as constipation, and its effects are 
soon recovered from. 

Next to tne stomach and bowels the urinary or- 
gans may be mentioned as exerting great influence 
over the sexual system. The proof of this has 
already been given, but I. think it necessary to call 
attention to the fact here as one of the very first im- 
portance. If the kidneys or bladder be affected in 
any way the genital organs are sure to be affected 
likewise, and if the urine have an irritating q.uality 
it is nearly certain to act on the urethra and ducts 
so as to cause sexual excitement or spermatorrhoea. 
This is particularly important in regard to children, 
many of whom are disposed to precocious virility 
&t to masturbation, simply from being affected wi*> 



8ENBKAL REMARKS. 



853 



gravel or with some disease of the Kidney or blad- 
der. Those children most liable :o such troubles 
usually find it difficult to hold their urine during tire 
night, and it is very high colored, with a strong 
odor. Such children are very apt to be subject to 
spermatorrhoea in after-life, aijd also to be addicted 
to self- abuse ; it is, therefore, very important that all 
such affections of the urinary organs should be 
promptly attended to. At every after-period of life 
also such matters require serious attention ; for many 
a man is kept diseased and impotent by the same 
causes, which may operate so powerfully as to neu- 
tralize all attempts at cure while they remain. — 
When any of these diseases exist, at any period, it 
is requisite, of course, that the diet and drink should 
be regulated especially in reference to them, the 
urinary organs being readily affected by those 
agents. 

Constant and healthy exeicise of the whole mus- 
cular system is also of great importance to the pre- 
servation of sexual power. It is true that if a man 
takes little exertion, particularly if he lives high, 
he will be apt to exhibit an unusual tendency to 
amorous indulgence, because, as before remarked, 
gluttonv and idleness lead to licentiousness. This 
effect, bowevar, is only a temporary one and sooner 
or later the individual finds that he has permanently 
exhausted his vital energy ana [hat his health and 
strength is seriously impaired. The vital power 
that may be safely expended in sexual indulgence 
is only the surplus, after every part of the system 
has apppopriated its due amount, and if more be so 
expended some part must suffer. In other words 
we may suppose that every healthy man has a cer- 
tain stock of vital energy, whicl we w'll call his 



ft\\ GENERAL REMARKS. 

capital, to which he keeps adding, more or less, by 
the function of nutrition ; this addition may ba 
compared to interest which may be expended with- 
out any loss of capital, and of course without mak 
ing him any poorer. If, however, by any excess he 
expends more than this addition the capital is pro- 
portionably diminished, and permanently too, for it 
can seldom be again made up. 

Now, the idle man does not expend enough vital 
energy on his muscular system to keep it healthy, 
but at the same time gives a superabundance of it 
to the sexual organs, so that they are over-stimu- 
lated, and suffer from excess. They become habi- 
tuated to great indulgence, and are constantly caus- 
ing a drain on the vital power, that soon exhausts 
both principal and interest and leaves the indivi- 
dual completely exhausted. 

The philosophy of this has been frequently alluded 
to in the course of the present work, but it is so im- 
portant that I wish to present it in a strong light. I 
am fully persuaded that there is no case of preco- 
cious or excessive sexual propensity, unless caused 
by disease, that cannot be easily subdued by muscu- 
lar exercise. No matter how vigorously the semi- 
nal glands may act, in a state of leisure, they must 
become less active if the body be exhausted by ac- 
tive exertion, and to this rule there is scarcely any 
limit. One of the Reports of the Massachusetts 
Lunatic Asylum strongly impresses this truth, and 
shows conclusively that we have, in hard labor^ a 
certain means of subd aing this propensity to its pro- 
per limits under any circumstances. The applies 
tion of this truth to young persons is obvious, num- 
bers of whom are made licentious only by uodiW 
inactivity and over-feeding. 



GENIRAL REMARKS. 355 

The invalid, or the man whose pcwers are inv 
^**ired must of course husband his strength, because 
he does not require exhaustion, but only sufficient 
exercise to ensure health. 

Exercise of the mind is also equally as important 
as exercise of the body. The man who is mentally 
idle is nearly certain to experience too strongly the 
force of the animal propensities, and licentious 
thoughts are too often indulged merely from the 
absence of better ones. It must be recollected, 
however, that too much mental exertion, particular- 
ly if attended with care and anxiety, is most de- 
structive to the sexual power, and frequently leads 
to impotence, as many of our cases have shown. 
Those who wish, therefore, to preserve their virility 
should endeavor to maintain a happy medium, 
laboring with the mind sufficiently for. health and 
utility, and endeavoring to preserve perfect calm- 
ness and equanimity. This subject was explained 
in one of our former chapters on Impotence, and the 
remarks there made may be again referred to, in 
connection with these, with advantage. 

There are many indulgences which people allow 
themselves, some of which are apparently very 
simple, that exert a decided influence over the 
sexual organs, and in time impair their power. 
Some of these have been alluded to, particularly the 
use of tobacco and other narcotics, but there are 
some others also deserving of notice, though of iess 
consequence. Some persons are much affected by 
odors, which operate either as stimulants or as seda- 
tives to the nervous system, and sometimes produce 
peculiar effects. That there are odors that specially 
excite the sexual instinct is beyond question, some 
naturally and others artificaFy,' though diifereni 



J556 GENERAL REHARXS. 

people experience their effects in very different de- 
grees. There are also others that exert an opposite 
influence, though seldom in so decided a manner. 
Very sensitive people, particularly those in whom 
the sexual instinct is naturally strong, may be as 
much excited by a mere scent as by a medicine 
onveyed into the stomach, as I have frequently 
seen. Hysteria is often excited in this way in 
females, as I have shown in my work on the Dis- 
eases of Women, and various forms of nervous ex 
citement frequently supervene in the other sex from 
the same cause. 

It may be stated, as a general rule, that all power- 
ful odors may produce effects of this kind, and they 
are, therefore, better avoided, particularly the habit- 
ual use of them. There are some particular scents 
that exhibit this power more constantly, and to a 
greater degree than others, and several of these 
are articles of common use in the toilette. An 
enumeration of these would embrace many of the 
choicest perfumes used, but it is scarcely possible U* 
particularize among so many, nor is it necessary 
as the whole are better avoided. The very origin^ 
and natural use of some of these indicates clearly 
enough the purpose Nature intended them to mifil, 
in the animals from which they are taken, and I 
cannot but think that few females at least would use 
them if they really knew what they were. Muskj 
especially, is an article of this kind, the aphrodisiao 
effects of which I have sometimes seen exhibited in 
the most unequivocal mariner. 

The readers of classic poetry will call to mind 
the story of the Indian Prince, who exhibited such 
marvellous powers merely from smelling the flower* 
&i the Nympha odorato, and also several other in- 



GENERAL REMARKS. 357 

stances in which the aphrodisiac powei of different 
odors is distinctly alluded to, showing that the gene- 
ral truth was known centuries ago. Some of these 
accounts are of course much exaggerated, but most 
of them are founded upon actual truths, as I have in 
some cases proved, and I believe the statement about 
the Nympha is one that is entitled to consideration* 

Perhaps, however, the most important suggestions, 
as regards the preservation of the procreative powe~, 
are those relating to its actual use. It is well 
known, respecting all the other vital functions, that 
their healthy performance and preservation, depends 
materially upon their being exercised at proper 
times, and under proper circumstances, and it is the 
same with the generative functions. Many persons 
think, because the genital organs are usually capa- 
ble of action at any time, and under almost any 
circumstances, that it is therefore of little conse- 
quence what time is chosen, nor under what circum- 
stances it may be. This, however, is a great mis- 
take, as any one may soon discover by studying his 
own experience. 

The time for sexual indulgence should be so 
chosen that the temporary excitement and after-ex- 
haustion resulting from it, may not interfere with 
any of the bodily or mentE^ functions, nor distress 
the sysiem by necessitating too much effort during 
any needful exertion. Ignorance of this important 
rule, and consequent neglect of it, very often leads 
to great inconvenience, and even serious mischief. 
Sexual indulgence just after eating is nearly certain 
to be followed by indigestion, even if it does not 
cause immediate vomiting, owing to the temporary 
loss of nervous power thereby produced, whicn 
trrests the action of the stomach. Just before eating 



2^Q eSNLRAL REMARKS. 

also the same evils may follow, fiom the stomacl 
being made so weak that digestion cannot prone] 1 J 
commence, and the food consequently ferments. 
Many times I have heard men confirm this truth, 
when explained to them, though they had previously 
never dreamt that their troubles arose from such a 
cause, and when our previous explanations are borne 
in mind, respecting the nervous sympathies of the 
sexual organs, the philosophy of it will be evident. 
The proper time for this indulgence therefore, in 
reference to taking food, is at a sufficient, interval 
after eating for digestion to be nearly accomplished, 
and before another meal begins to be needed. By 
observing this rule the action of the stomach is not 
interfered with, and no indigestion or nausea are 
likely to follow. It is true, that most men experience 
stronger desire for indulgence iinmediately after a 
full meal, particularly when stimulating drinks have 
been used, but this does not prove that they choose 
the best time. The desire they then experience is 
merely a factitious one, produced by the general 
excitement of the whole system, and the exhaustion 
afterwards felt is nearly always in proportion. In 
the same manner a man, while under excitement from 
alcohol, may teel disposed to great bodily activity, 
and may exhibit astonishing strength, but when the 
stimulus is withdrawn he feels a corresponding pros- 
tration and lassitude. This is the reason also why 
sexual indulgence should not be sought during such 
excitement, for the disposition is nearly sure to be 
stronger than natural, and the cver-excitement is 
followed by proportionate exhaustion. In Poetry, I 
am aware, Venus and Bacchus are associated 
together, but Poetry is not always Physiology^ nor 
even common sense, nor should the licentious furor 



ftSNERAL REMARXS. 359 

produced by wine be .n any way considered as the 
promptings of nature. 

Upon the same principles it is obviously injudi- 
cious to seek indulgence just previous to any mental 
effort being made, because the vital energy will be 
too much exhausted to allow of such , effort being 
made with advantage. Nor is it advisable imme- 
diately after any great mental effort, because it is 
injurious to have two causes of exhaustion in action 
at the same time. — The same remarks also apply to 
muscular exercise, which should neither immediately 
follow nor closely precede sexual indulgence, for 
the reasons above given. — In short the period chosen 
should be one when both body and mind can enjoy 
repose, at least for a short period, both before and 
after, and when none of the functions are likely to 
be disturbed. 

The time of day is a matter of secondary import- 
ance or rather no preferable time can be named, 
because it must so much depend upon how the indi 
vidual is circumstanced. That of course wil\ be 
the best time when the above-mentioned rules can 
be most fully observed. Some medical writers sug 
gest the evening, because the business of the day is 
then over and the repose of night is to follow, and 
this probably is the best period, generally speaking. 
Others again recommend the morning, because 
there is then the greatest vigor, and in case of con- 
ception the offspring may be benefitted thereby. 
This, however, I feel assured, is a bad suggestion, 
for the business of the day will be very apt to 
oppress a man who starts exhausted, and the 
various functions of his system will very likely 
be imperfectly performed. The notion about the 
offspring being influenced at the moment of conr.ep 
3S 



360 GENERAL REMARKS. 

tion, by the state of the male system. I have al- 
ready shown the fallacy of, because that moment 
may not nearly correspond with the period of 
association. 

Tne duration of tne sexual power, like any otner, 
materially depends *n the manner in which it is 
used, and this should therefore be duly considered 
by those wno think its preservation worth striving 
for. A certain amount of natural indulgence is 
probably essential, in most cases, to perfect health, 
but when that amount is exceeded of course more 
or less permanent injury results, as before shown. 
Every individual should, therefore, endeavor to as- 
certain, for his own guidance, the proper limits to 
hi$ gratification, and if he wiJJ attend to what has 
been previously stated on this point that limit may 
be readily ascertained. By doing this a real gain 
will always be made, for the extra duration of the 
power which this will ensure will more than com, 
pensate for any temporary denial. — With some peo- 
ple whose systems are in regular action, and whose 
health is nearly uniform, the observance of a regit* 
lar period is found to be advawtageous, and highly 
conducive to the preservation of the virile power, us 
it prevents both excess and gradual decline. 

These hints and suggestions, though apparently 
simple and common-place, are nevertheless of great 
value, and if duly observed would probably do 
more towards preventing untimely decay than all 
the medical treatment ever practised. Decay is 
caused, in numerous instances, by a number of small 
causes operating together, and if each cf those be 
removed, as it may generally be very readily, the 
decay is of course prevented. People are too apt to 
take notice only of the more striking agents of da* 



GENERAL REMARKS. S(5£ 

ttructiDii, passing unnoticed these apparently sim- 
ple ones, as being of small consequence while in 
reality they are the most important. 

There are few persons of good health, who will 
attend to the above suggestions, and the advice form- 
erly given, but what may preserve their powers to 
an indefinite period of their existence, particularly 
if they practice cold local bathing over the parts, and 
avoid all improper excitement. — There is no parti- 
cular time of life when the powers of the male sys- 
tem decay, but they may be preserved to extreme 
old age, as many cases have proved. — Old Parr for 
instance was condemned to do Penance when over 
a hundred years old, for an amorous intrigue, and 
he had several children after that period. 

There are some other circumstances, connected' 
with the association of the sexes, that exert an im- 
portant influence over the duration and manifesta- 
tion of the sexual power, but as they do not concern 
man alone it is not necessary to enter fully into a 
consideration of them here, but merely to point them, 
out as concerning both sexes. 

There is no doubt but that Nature has instituted^ 
in numerous instances at least, if not universally, & 
peculiar fitness, or adaptation between particular 
individuals of opposite sexes, that makes them more- 
appropriate companions to each other, in marriage,, 
than they can ever be to others. And on the con- 
trary, it is equally certain that there is as great aa 
unfitness in some individuals, so that their union i» 
in every way objectionable. This adaptation may 
be either mental, moral, or physical, or it may be 
all three, and sometimes it consists in something we 
cannot understand, though its existence is too obvi- 
ous to admit, of dispute. Nature frequently exhibit* 



362 GENERAL REMARKS. 

wonderful sympathies and antipathies, which we 
cannot comprehend, but which should be attended to, 
as far as possible, in making our arrangements, for 
it is always injurious to run counter to them. There 
are many causes of unfitness, and consequent un- 
happiness, that could be discovered before marriage, 
and many others that could be corrected after, if the 
parties possessed a certain amount of physiological 
knowledge, but unfortunately such knowledge is 
seldom obtained in time, and the consequences must 
be experienced. It is not my purpose to discuss 
this matter fully here, but merely to show its bear- 
ing upon the subject now being discussed. There 
is no question but that association between persons 
properly adapted to each other is less exhaustive, 
and may be more frequently indulged, than between 
those who are naturally unfitted to be companions. 
And it is also certain that the circumstances under 
which the association occurs may very much deter- 
mine the effect it will have. It is requisite, for the 
act to be truly pleasurable and advantageous, that it 
should be fully approved both by the feelings and 
the judgment, otherwise it will be more or less re- 
gretted, and more or less injury will follow, no mat- 
ter what amount of mere animal gratification waa 
experienced. This is the reason why mere licen 
tious debauchery is always followed by remorse, 
and ill health, while legitimate association in ma* 
riage, with a loved and respected partner leads to no 
such evil results. It is a fact equally important to 
individuals and to society at large, that the institu- 
tion of marriage is conducive both to health and to 
happiness, and that the duration of life, in both 
•exes, is longer in that state than in any other. Many 
men fall into a great error in regard to this subject, 



GENERAL REMARKS. 363 

and suppose tnat they can realize more pleasure in 
the unlicensed indulgence of the singfce state than 
when married. Tliis is, however, a fatal mistake, 
for they really enjoy less, and are after all dissatis- 
fied with themselves, while the duration of their 
powers is materially shortened. 

Some litfle time ago I had a very interesting 
conversation on this subject with a Swedenborgian, 
who remarked that many of the principles laid 
down in my lectures exactly corresponded with his 
spiritual views on marriage, and that his own expe- 
rience fully corroborated the truth of what I had 
stated. He told me that in his youth he was unfor- 
tunately led into a licentious course of life, and ex- 
perienced in consequence all that self-accusation and 
loss of real pleasure which I described, but that 
since his marriage, and in consequence of the im. 
portant truths learned from Swedenborg's writings, 
he had subjected his passions to the control of rea- 
son, and had led, as he expressed it a new life. He 
assured me that, with the partner of his bosom, 
association was never followed by exhaustion to 
either, but on the contrary by a feeling of increased 
strength and pleasure to both, and I have no doubt 
but he spoke the literal truth, for I have been fre- 
quently told the same by others. He regarded this 
as a spiritual effect, while J looked upon it as a 
simple physiological one, but be that as it may the 
fact is an important one, both as regards health and 
morals. These subjects, however, are very fully 
discussed in my book, called the Marriage Guide, 
which I have been for a long time preparing, and 
the Three Hundredth Edition is just out. It has 
been delayed in order to institute a number of ex- 
periments, and an extended series of observations. 
35* 



3fi4 GENERAL REKi.£KS. 

iv clear up all doubtful points and make the expla- 
nation complete. 

Another important requisite for the healthy action 
and extended duration of the sexual power, in both, 
is a near correspondence in age. Experience haa 
proved beyond doubt that when there is great dispa- 
rity of age, in marriage, the elder person is nearly 
sure to benefit at the expense of the younger, some, 
times even sufficiently to compensate for the loss 
resulting from great excess. This fact ^as acted 
upon medically in former times, and is now even in 
some countries, by procuring young females to sleep 
with old men, so that they may be strengthened 
thereby, which they nearly always are, though the 
females suffer a corresponding loss, and not unfre- 
quently waste and die in consequence. Such un 
natural practises are therefore properly discounte- 
nanced now, both by reason and morality, though we 
sometimes see a near approach to them in marriage. 
St is even known that when children sleep with old 
persons they suffer from it, and sometimes even die, 
without the causes of their sickness being suspected. 
In all probability young men who marry old females 
suffer in the same way, and to an equal extent, pro- 
viding they are as exclusive' in their companionship, 
but there are many causes that may make it other, 
arise in their case. 

What constitutes a great disparity of age must of 
course depend upon various circumstances, beside* 
the number of years. Some persons are younger at 
forty or even fifty, in respect to health and probable 
longevity, than others are at twenty-five or thirty 
and this must be taken into account. Generally 
speaking, however, there should not be much more 
than ten years difference under any circumstances. 



GENERAL REMARKS. 3(55 

and only half that is better, the man being the elder, 
— Besides health this principle of similarity of age 
has an important bearing upon the relative number 
of the sexes born, as shown in my Matron's Manual, 
to which I. refer those who wish for more extended 
information on the subject. 

The explanation of the above-mentioned fact is 
probably this, — all living bodies are constantly 
giving off portions of their substance, in the form 
of insensible perspiration, and these particles 
thrown off are in the same state, in regard to age 
and health or disease, as the body from which they 
emanate. The same bodies are also as constantly 
absorbing, both by the lungs and by the skin, what- 
ver is presented to tnem in a proper form, which 
partly counterbalances the loss. Young healthy 
persons are, therefore, always giving off a stream 
of fresh wholesome material from their bodies, and 
old or diseased persons as constantly give off a 
stream of morbid and decaying matter, which ex- 
plains why it is that the young suffer and the old 
benefit when they live together. The waste of the 
old persons ts in part made up by absorbing the 
fresh exhalation from the young, and they become 
thereby rejuvenated, while the waste of the young 
persons is only made up by absorbing the decaying 
exhalation from the old, and they in consequence 
speedily decay and become old likewise. The ce- 
lebrated Hufeland, in his " Art of Prolonging Life" 
gives some curious instances of the practical ap- 
plication of this fact which are highly interesting, 
in a scientific point of view, though morally repre^ 
hensible. Among others he tells us of an old man 
who had the superintendence of a kind of alms, 
bouse, in which were a large number of young 



366 GENERAL REMARKS. 

girls, in whose society he passed nearly tne whole 
of his time. He contrived to have a number o 
them always around him, so that he was constantly 
in an atmosphere as it were of youthful exhalation, 
and by these means he preserved his life to an ex- 
treme old age, with all his powers in full vigor. A 
similar practice, to a certain extent, has even been 
adopted in London and Paris very recently, as was 
discovered in the evidence on a Police Trial. It 
appeared, from the statements made, that a number 
of poor young married females were hired to attend, 
at certain establishments, for so many hours in the 
day, to associate with superannuated old men. And 
not only did these young females associate in com- 
pany with the aged patients, but they also supplied 
them with what ought to be kept for infantile nutri- 
ment alone, — in short they acted as wet nurses to 
them ! — -The results of the practice were said to be 
very satisfactory, but fortunately there is not suffi- 
cient degradation and poverty in this country to 
make it available here, though I have known it at- 
tempted. — With persons of equal age, and similar 
condition of health, the exhalations are similar, and 
there is an equal loss and gain on both sides. — 
During sexual excitement the insensible exhalation 
is much increased, and therefore the effects above- 
mentioned are more evident where there is associa- 
tion, and this perhaps explains, as my Swedenbor- 
gian friend remarked, why it is that in a proper 
marriage no exhaustion at all is experienced, there 
being merely a reciprocal interchange exactly cor- 
responding in both. 

THE END. 



Plate XI.— Fig. 1. 



367 




Plate XI.— Fig. 2. 




REMARKABLE CASE OF ELEPHANTIASIS, 369 



REMARKABLE CASE OP ELEPHANTIASIS. 

Elephantiasis, though common in some parts of the 
world, is rare in the United States. The following case 
occurred at the Colored Home in this city, while it was 
under the care of that most painstaking and conscien- 
tious physician, Mr. S. Whitall. 

The patient's name was Isaac Newton, native of 
Georgia, aged 22. He was admitted to the Hospital 
March 20, 1866. He had previously enjoyed general 
good health, and was in good condition when admitted. 
About eight years "before, while leaping a fence, he Mi 
astride the rail and bruised the scrotum. Some pain and 
swelling followed, which, however, passed off, and about 
three months after it began to feel uncomfortable, and 
the skin commenced to thicken ; the thickening increased 
till it extended up the Penis, till it reached the prepuce. 
It then grew rapidly till at last it hung down near to his 
ankles. Its appearance when at the hospital is shown in 
Plate XI.— Fig. 1, 

At first it pained him very much, but latterly he was 
only inconvenienced by its size and weight, which hin- 
dered his walking. His general health being remarkably 
good — his weight, without the tumor, 159 pounds. The 
tumor weighed, when removed, 63^ pounds. His sensual 
desires were perfect, and he had occasional erections and 
emissions. 



370 REMARKABLE $!ASE OF ELEPHANTIASIS, 

This enormous tumor was successfully removed by Dr. 
Thebaud, in the presence of many noted surgeons and 
medical men, May 30, 1866— Dr. G. F. Hollick being at 
that time House Physician. The patient was placed 
under the influence of ether, and the operation lasted 
nearly an hour, including the dressing. It was remark- 
ably successful, and on August 6th the wounds were 
almost entirely healed, the parts had assumed their 
natural appearance, and his general health was much 
better. He was even gaining flesh. 

April 2, 1867, he was discharged from the hospital and 
returned to Georgia. The parts then presented the 
appearance shown in 

Plate XI.— Fig. & , 



APPENDIX 



NEW FACTS 



AND 



CASES 



CONNECTION BETWEEN THE 

BRAIN AND THE SEXUAL ORGANS. 




The two halves of the Brain are separated, to show th*y 

are distinct from each other, and to show their eonnee-" 

need on with the Sexual Centres. (See page 4o. 



FACTS FOR THE FEEBLE ! 

OR 

PROFESSIONAL NOTES 

OF 

CURIOUS MEDICAL CONSULTATIONS -, 

RELATING TO THE VARIOUS 

PECULARITIES, DISABILITIES, AND 
FORMS OF DECAY 

OF 

THE SEXUAL SYSTEM 

BEING THE RECORDED EXPERIENCE OF 

MAUI YEARS SPECIAL PRACTICE IN SUCH CASES, 

AND SHOWING THE ACTUAL EFFECT OF THOSE 

NEW REMEDIES, 

A» J MODES OF TREATMENT NOT YET GENERALLY KNOWM 
EVEN BY MEDICAL MEN 



BY FREDERICK HOLLICK, M. D. 
♦♦♦ 

NEW YORK: 

THE AMERICAN NEWS CO., NASSAU STREET, 
PUBLISHERS AXD AGENTS. 

I 



Entered according te Act of Congress \a cb« /*ar 185ft, 
BY F. HOLLICK, 
In tibft Cork's Office of the District Court of the Umted 
•or tfet Southern District of New York 



375 



CHAPTER I. 

THE PHYSICAL AND MORAL EFFECTS OF 00NTINSSC8. 

By . Continence, is meant a voluntary abandonment of 
sexual indulgences, in those who are capable of, aud who 
have a desire for them. When a person abstains simply 
from want of inclination for such pleasures, it is called 
■Chastity, which differs from continence inasmuch as it re- 
quires no effort. 

Chastity is a natural condition for many, owing to peculi- 
arity of constitution, and is therefore both proper and bene- 
ficial. Continence on the contrary is an unnatural strug- 
gle, against one of the strongest animal instincts, and h 
always more or less injurious, as every attempt to evade 
the laws of our being must be. 

Every living thing, Vegetable as well as Animal, has, at 
some period or other of its existence, a desire, or tendency, 
towards the opposite sex, and this desire or tendency should 
be gratified, both for the purposes of procreation and also 
because it is necessary to the individual's own well being. 

To praise and recommend absolute continence as a Vir- 
tue is a great mistake, and to suppose that it can be really 
practised, by those who are physically perfect, is equally 
a mistake ! It is true we hear of it, and possibly some 
persons think they really are absolutely continent, but 
most assuredly, they deceive themselves. Some of these 
persons are really Impotent, and give themselves credit for 
Continence when in fact they are only powerless ; others 
who forswear natural indulgence either abandon them- 
selves to disgusting habits, a thousand times worse, or 
suffer from unnatural pollutions. 



376 THE PHYSICAL 1ND MORAL 

There is a period of life, in all perfect organizations, 
when sexual indulgence becomes an actual necessity, as 
much so as food or drink. In some organizations this 
necessity is of course nrich stronger than in others, and 
the consequences of not ooeying it are in them proportion- 
ably increased. In such persons we often observe the 
most singular Mental eccentricities, and sometimes even 
moral perversity, carried to excess, and not unfrequently 
ending in mania, melancholy, suicide, or crime. The phy 
sician often sees, in cases of forced continence, the most 
hideous exhibitions of Nymphomania. Satyriasis, Pria 
pism, and Erotomania, not unfrequently terminating in 
Insanity or death. 

Besides mental and moral perversions, Continence also 
originates many physical derangements, such as various 
infirmities of the Genital and Urinary organs, softening 
and inflammation of the brain or spinal marrow, with 
wasting of the flesh, and fever. 

The celebrated Esquirol remarks, that most of the in- 
sane persons who come from Convents, exhibit morbid 
amative tendencies. And Mathieu gives us an instance, 
in his Etudes Clinique sur les Maladies des femmes, of a 
young girl who was attacked with Nymphomania after a 
fit of religious fervor, and probably from previous undue 
restraint. Many of the so called Perfectionists in religion, 
especially those who exhibit the phenomena of Trance, 
or Convulsions, have confessed that during their fits of 
excitement they experienced the liveliest sexual emotions. 
And I have heard similar confessions made to me, by 
those who have been excited in the same way at love feasts 
and protracted meetings. 

In short in all cases where the natural propensities are 
unduly restrained, especially from mistaken religious 
views, there is a constant liability to such exhibitions of 
Erotic furor, which are often mistaken, even by the indi- 
viduals themselves, for genuine devotional 'fervor. 

Those who are curious about details of this kind should 
read the writings of Hecquet, who had many opportunities 
of becoming acquainted with these religious enthusiasts. 
In my own practice I have had similar facte eommunica, 



EFFECTS OF CONTINENCE. 377 

ted perhaps equally curious, and equally instructive, some 
of which will be given in another place. In all my ex- 
perience, and it has been extensive, I have never known a 
female who was subject to fits of intense religious excite- 
ment, such as we often see at Camp Meetings, but who 
either had some uterine disease, or was naturally of an 
ardent amative temperament. 

I have often seen the characters of these Devotes change 
in the most extraordinary manner, under a proper course 
of medical treatment, so that their church friends accused 
them of backsliding, and attributed the change to the in- 
fluence of Satan ! Many others I have also seen changed 
in a similar manner, on being married ; and in one such 
instance the husband was accused of leading his wife from 
religion. 

The old Ascetics, who swore to practice perfect conti- 
nence, have left us many records of their daily and nightly 
struggles against nature, and of their remarkable amative 
hallucinations, — for which, by the way, they often were 
called Saints. 

This is particularly seen in the records left by Ascetic 
Females, whose lucubrations are curious compounds, half 
pious half erotic, betraying either uterine disease or intense 
warmth of sexual feeling. 

Many Medical writers have testified, after long and 
careful observation, that uterine furor is very general among 
those females who resist all amative impulses from religi- 
ous motives. And not unfrequently, in spite of all their 
severe chastity, nature overpowers conviction, so that the 
poor victim of a so called virtue is constrained, in spite 
of herself, to betray her real condition. In more than one 
instance, during uncontrollable erotic furor, exhibitions, 
and advances, of the most libidinous character have been 
made unwittingly, by those rencv/ncd for having conquer- 
ed all fleshly lusts. So much so fa fact is this the case 
that, in France, it is a common proverb that the Convent 
and the Confessional are the Parents of Hysteria and Nym- 
phomania ! 

The terrible struggle which many estimable females 
■naiutain in this way is most extraordinary, and not unfre 



o78 THE PHYSICAL AND MORAL 

quently terminates in Insanity or death, — though those 
around them have no idea that any unusual effort has 
been required on their part. 

In short sexual approach is a necessity of the organiza- 
tion, and those who practice undue continence will always 
suffer a variety of evils from which those who do not are 
free. It is also the foundation of Marriage, one of the 
fundamental Institutions of civilized society, and equally 
beneficial ^individuals and to the community at large. 
Continence is of course opposed to this institution, and 
should therefore be discountenanced by all well wishers of 
our race. 

Statistics prove that married persons on an average, 
are longer lived than single ones, and my own observation 
has convinced me that they are more exempt from dis- 
ease. So well convinced were the ancients of this that 
they erected a statue to Hymen, the God of marriage, with 
this inscription " To Hymen, who prolongs youth ! " 

According to statistical reports it appears that while, 
in a given time, among single men between 25 and 45 
years of age, 28 will die out of every hundred, among 
married men of the same age only 18 die out of the hund- 
red ! 

It appears also that for every 78 married men who 
attain 48 years of age there are only 40 single ones who 
do so, and as we advance further in life the difference is 
still more striking. Thus out of every hundred married 
men 48 will live to be 60 years old, but . in a hundred 
single men only 22 will attain that period of life. And 
at 80 years of age we find nine married men, to only 
three single ones. 

Among females the difference is still greater in favoi 
of the married, notwithstanding the many dangers of 
maternity, and they are also less subject to disease. 

As a further proof of this important truth, it is found 
that out of every hundred suicides sixty-seven are single 
and only thirty-three married ! And in seventeen hund- 
red and twenty-six Insane, also nine hundred and eighty 
are single and only seven hundred and forty-six maraed. 

It is true that the unmarried state mav not necessarily 



EFFECTS OP CONTINENCE. 87^ 

6e a state of Continence, but it must either be that or t 
Btate of illicit or unnatural indulgence, either of which 
is injurious 

Many of the diseases and infirmities arising from Con- 
tinence are attributed to other causes, both by people gen- 
erally and also by Medical men, who have not made these 
matters their study. This is especially the case with 
young females, whose natural modesty induces them to 
carefully conceal the truth, even if they fully perceive it 
themselves. A crowd of hysterical and nervous derange- 
ments are originated in this way, besides various uterine 
diseases. 

In describing Chlorosis, or the green sickness, which is 
often the result of forced Continence, a celebrated French 
writer gives us the following touching picture, true to the 
Life. — " See that young female with pale wax-like cheeks, 
'anguishing sunken eyes, and tottering steps, hanging her 
lead like a withered flower, her heart palpitating and her 
breathing interrupted by heavy sighs. Her digestion is 
bad, her appetite capricious, and she has an unnatural 
tendency to eat strange unusual substances, which she 
often craves in the most urgent manner. If allowed to 
remain in this state too long she will continue to languish, 
and at last descend prematurely to the tomb. Let her 
marry however, to the being she has constantly seen in 
Iter dreams, and health returns like glorious day at the 
rising of the sun. The roses soon return to her cheeks, 
happiness brightens her eyes, and a pure wholesome blood 
rushes gaily through her veins." 

Such pictures are daily to be seen, though none but ex- 
perienced eyes detect their meaning. In the other sex 
also we have similar experience but not so frequently, 
owing to le3S innate modesty, and more facility for grati- 
fication. 

In history also, as w^ell as in modern experience, we find 
numerous instances of the evil effects of undue Continence, 
gome of which are worthy of being referred to. Hippo- 
crates saved the life of a young Prince, who was fading 
away from seme unknown cause, by advising his mar- 
riage with the young female he loved, and the same aer 



S80 THE PHYSICAL A'S n MOTUT. 

vice was also rendered to another ycmng Prince by Era- 
ffistratus. The celebrated Galen likewise, being called to 
treat the daughter of a noble house, who was pining away, 
detected at once that she was a victim of forced conti- 
nence, and he assured her father that nothing but marriage 
could save her life. Much against his will he had to Con- 
sent, his daughter refusing to marry any other than a 
young plebeian, with whom she was in love. The result 
proved however that, though pride was sacrificed, health 
was repaired and life saved. 

In that interesting work the Physiologie des passions, 
we find a curious instance of the same kind. The subject, 
a young lady, was intended by her parents for a Nun, but 
having an ardent Uterine Temperament the idea was ex 
tremely distasteful to her, and she became seriously sick 
from grief and apprehension. At first she fell into a dull 
stupor, from which she roused only to pass through all the 
stages of Hysteria, and Nymphomania, till her reason 
seemed almost gone. That skilful physician Alibert being 
called in he saw as a glance what was the cause of hei 
sickness, and promptly told her parents that she must 
marry or die ! Their love for their child was fortunately 
stronger than their fanaticism, and they consented to her 
marriage. She at once recovered and became a happy 
healthy wife and mother. 

In such cases the natural action of the Genital organs 
is indispensable to the health of all other parts of the 
system, and their forced inaction is highly prejudicial. — 
The Physiological reason for this, and also the rules by 
which indulgence should be regulated will be found in the 
" Marriage Guide." 

The evil consequences of Celibacy, whether it be ac- 
companied by actual Continence or not, are as great per- 
* haps to society as to the individual, a fact which many 
lawgivers have recognized. In ths sacred writings of the 
Persians, the Hindoos, the Chinese, the Hebrews, and the 
Turks, we find Celibacy expressly condemned, and in some 
' of them it is even stated that the souls of those who die 
in a state of Celibacy will not enter heaven, but will 
wander eternally on earth. To avoid this it was custom- 



EFFECTS OF CONTINENCE. 381 

uj to many the dead before they were burnt. The oU 
Romans, and the Greeks, had express laws against Celi- 
bacy, and so harrassed those who practised it that the 
offence was quite rare. 

Lvcurgus excluded those who practised Celibacy from 
all civil and military employments, forbade them attend- 
ing the public amusements and branded them as infamous. 
At certain solemn fetes they were also exposed to the 
ridicule of the populace, who promenaded them around 
the public places with shouts and laughter, while the wo- 
men tore their faces and struck them with small whips. 

A curious instance of the contempt which was shown 
for the unmarried is found in Spartan History. It is well 
known what extreme reverence these people had for their 
old men, who were invariably saluted with respect by the 
young whenever they met. On one occasion however, an 
old man was refused the customary mark of respect by a 
youth, of whom he accordingly complained, to the magis- 
trates. The youth on hearing the accusation admitted 
its truth, but replied, " this old man has never married, — 
how then can he demand marks of respect from me when 
he will leave no children to show them to me, when I am 
old ? " This reason was deemed good, and the old man 
was sent away with contempt. 

The Laws of 'Plato tolerated Celibacy in men only till 
the thirty-fifth year, and in females only till the twenty- 
fifth, — after these periods they were socially outlawed. 

A Roman Citizen could not testify in any case till he 
replied in the affirmative to this question—" on thy soul 
and conscience art thou married ? " 

Under Julius Geasar, and many of the other Emperors, 
laws were passed to degrade those who did not marry, and 
to reward those who did. 

EVen in the Romish Church, among the Priests, Celi- 
bacy is comparatively a modern Institution, and except 
in as far as it makes the Church itself more powerful, it 
has always been objected to. 

In fact Celibacy is an unmitigated evil to society, as 
Continence is to the individual. A forced abstinence from 
ttatural indulgence leads to disease or unnatural abuser 



882 THE PHYSICAL AND AfOKAL 

while a neglect of marriage leads to licentiousness and 
prostitution. In all cases where a nation has become viti- 
ated by luxury and vice it has disregarded marriage, as 
we see in the decline of the Eoman Empire, and of the 
Grecian communities. 

In giving these remarks I presume no apology is need- 
ed, at least not to those who think, because thefr utility 
must be apparent. I will now proceed to give some cases 
from my note book, confirmatory of the statements above 
made. 

To the prudish, and to those who are governed by old 
prejudice against such discussions, I recommend the fol- 
lowing passage from Montaigne. 

" What is there then in the Genital act, necessary and 
natural as it is, which should cause it to be proscribed as 
a subject for rational conversation ? "We pronounce com- 
monly enough the words kill, steal, filthy, and Adulterous, 
but mast not name the act by which our lives begin, and 
by which the race is continued ! Oh false modesty ! — oh 
shameful hypocrisy ! " 



CASES FROM MY NOTE BOOK, 

UNDUE CONTINENCE, FROM WORLDLY PRUDENCE. 

The first case which I extract from my notes is a good 
type of a large class, — -those who are continent from pnv- 
iential motives, and who think to avoid complying with 
the requirements of nature without suffering permanent 
inconvenience. 

Case I. — The subject of this case was a Lawyer, aged 
thirty-one. of good constitution, and of active Tempera- 
ment. When he applied to me his general health was not 
much affected, but from various unusual symptoms lie had 
begun to be somewhat alarmed. 

1 found on enquiry that he was naturally very amative, 
but at the same time very prudent, and uncommonly fond 
•f money He had made up his mind not to marry till 



ITFECTS OF CONTINENCE. 383 

he had secured a fortune, and was able to support a family 
in <pod style. This he expected to do before he was forty, 
and in the mean time sexual gratification was to be fore- 
sworn. 

His fear of consequences, and of exposure, kept him from 
illicit intercourse, except very rarely, and he had too mud 
good sense to practice self abuse, except when quite young 
He entertained the notion, as many others do, that his 
reproductive powers could be held in abeyance as it were, 
and yet be found ready when he could afford to employ 
them. In fact I have no doubt but he promised himself 
extra indulgence then to make up for his prudential re- 
straint. 

The only serious inconvenience experienced up to his 
twenty-eighth year was nightly emissions, which some- 
what affected his mind, making him, as he expressed it, 
not quite so bright as usual. These however became gra- 
dually less frequent, but the effects increased ! His mem- 
ory especially began to fail, and also his power of appli- 
cation, so that he had to drive himself to his work, instead 
of making it a pleasure, as formerly. 

At times he would feel nearly as well and energetic as 
ever he did, but then would follow a period of terrible 
depression and languor, which he was strongly tempted to 
relieve by using stimulants, but fortunately did not. 

His consolation was in thinking that he could keep on 
at. least as well as he was, until the hoped for period of 
his retirement, when all would come right again. The 
symptoms had however become so much more strongly 
marked, and his periods of depression, or fits of the ter- 
rors as he called them, so much more frequent, and so 
much longer in their duration, that he began to fear he 
might be too far gone to recover. 

In this state he called upon me, and I found he had a 
tolerable idea of his condition, though unwilling to do 
what nature demauded. " I know," said he, ' ; that I ought 
to marry for my health's sake, but my business is not yet 
in a satisfactory state, and I camwt be troubled now with 
domestic matters, they would unsettle my mind, though I 



8S4 THE PHYSICAL AND MORAL 

have no doubt I should be very happy with a wife and 
family." 

In vain I argued with him on the folly of such a 
course, and tried to show him of how much more conse- 
quence his health and happiness were than any amount of 
mere money ; he tacitly agreed with me, but unfortunately 
had the idea that he could still hold over by the help of 
Medicine ! 

I told him unhesitatingly that this was a vain depend- 
ance, and that I should only deceive him if I made him 
any promise that would favor it. The utmost that could 
be done, I fully assured him, was, to correct the evil al- 
ready done sufficient to make marriage proper, so that 
nature herself might have a chance to work. His sexual 
powers had become considerably impaired, but still were 
capable of renovation, by judicious treatment and con- 
duct, if such renovation were advisable. It would how 
ever have been useless to restore his powers unless they 
were to be naturally employed, because they would other- 
wise fail again worse than ever. 

In spite of all however, he determined to try his pow 
ers of endurance still further, and accordingly procured a 
Nervous stimulant which was recommended to him and 
kept on as before. I lost sight of him for about nine 
months, and then receiving a letter dated from a celebra- 
ted water-cure establishment, informing me that he was 
worse, and that he would shortly come on to consult me 
again. 

The Letter states — " I found myself so much worse 
about four months ago that I was compelled to leave my 
business, and abandon the medication I had till then per- 
sisted in. In my despair I came on here, to try the cun, 
all treatment, but to my sorrow it has failed also. I am 
worse and growing worm ! You can have no idea my 
dear sir what I have suffered, and yet with little or no 
bodily ailing, at least none that is very apparent. Day 
after day have I sat in my office trying jn vain to fiot 
my mind on a case. I could not do it to save my life. — 
My mind would fly to the stars or to the depths of tht? 
pea, or even lose itself altogether, out would noi fix upo* 



EFFECTS OF CONTINENCE 385 

what I wished to study. After hours spent in these vain 
attempts T would rush out in a state of absolute despair, 
and conceal myself, from very shame and vexation. Ana 
then oh ! who can imagine the torture I underwent ? ' You 
may my dear sir,, from having seen so many similar cases, 
but others I am sure cannot, and I womd rather die than 
attempt to explain my condition to my friends. 

My head has also begun to pain me, especially in the 
back part of it, and is constantly full and heavy, as if 
packed with lead, — my eyes often become dim, and a 
rushing sound fills my ears, till I become quite confused. 
Latterly also I have suffered considerably from palpitation 
of the heart, and my bowels and stomach are quite irregu- 
lar in their action. The emissions I have not seen now 
for six months, and this I think must be a good sign. I 
am however troubled with a very frequent desire to urin- 
ate, and my water is often thick and cloudy. 

Now my dear Doctor I am determined to follow your 
advice, 'providing: you can sufficiently restore me ! There 
however is a new apprehension, my sexual powers and 
desires have decidedly lessened, especially since I have 
used the cold water, and I begin to fear I never can 
marry, — in which case I say solemnly I do not want to 
five ! You must therefore be candid with me when T 
come, and tell me the truth, as nearly as you can, for t 
wish to know the worst at once. As for the fortune let 
it go to the 'log's ! Only let me be again a man and I 
care not what labor or privation is before me, nor what 
station I occupy. Remember, therefore, your decision in 
my fate, but do with me, and direct me, as you choose. 
F shall be with you in two weeks. Yours, &c." 

On seeing this G-entleman I found he really had, as he 
remarked, gone down hill at a rapid rate, and I by no 
means felt sanguine of his recovery. From his excellent 
constitution however, and from his not having been ex- 
hausted by excesses of any kind, I did not despair, but 
put him at once under proper treatment. 

The worst sign was precisely that which he thought the 
best, namely, the stopping of the nightly emissions. 1 sus- 
pected at once that the discharges stiU occurred, but ia 



886 THE PHYSICAL AND MORAL 

another and unseen form, much more dangerous. I ex- 
plained to him how, in such cases, the semen began at last 
to flow out with the urine, by which means so much was 
lost that the ordinary emissions ceased altogether. This 
was a new light to him, and he at once called to mind a 
number of symptoms which seemed to prove my position. 
To make it certain however I at once submitted a portion 
of the urine to microscopical examination, as is my cus- 
tom, and the result left no doubt as to the existence of 
the trouble. The urine in the morning contained an im- 
mense quantity of semen, and I found that more or less 
escaped every time the bladder was emptied. 

On reading my book on Tlie Male Generative Organs 
which he had not seen before, the truth broke at once 
upon him, and he remarked that if he had perused that 
work earlier, particularly the part referring to seminal 
losses, he should not have delayed as he had done. 

The first thing to be done was to remove the irritability 
and relaxation of the seminal Ducts, which was the im- 
mediate cause of the semen flowing out with the urine. 
This was effected by Cauterizing, the case being one 
which properly admitted of that operation. The result 
was perfectly satisfactory, the urinary losses ceasing en- 
tirely, so that the old nightly emissions again commenced, 
at intervals, and his desires and powers evidently began 
to return. The administration of my Aphrodisiac Rem- 
edy with strict attention to diet, and general hygienic 
measures, made the improvements still more manifest, but 
it was necessary for him to abandon business altogether, 
and live perfectly at ease. 

In six months he was decidedly restored, to a very great 
extent, though not fully to the condition he enjoyed orig- 
inally. I saw however that the system could recuperate 
its energies, to a great extent, sufficient in short to allow 
of his marrying with physiological propriety, providing 
he continued in the proper course, which he was deter- 
mined to do. 

In ten months after my seeing him he did marry, and 
the re*sult was very satisfactory. He js no\v the happj 
Father of two healthy children, and ui the enjoyment of 



EFFECTS OF CONTINENCE. 38 * 

very tolerable health himself. His sexual powers howevei 
are inferior to what they ought to be, and to what they 
would have been had he married earlier, buc still, as he 
expresses in one of his Letters, sufficient for the mutual 
happiness of himself and partner. His mind has, to a 
great extent, recovered its powers, but he is not even now 
capable of any continued mental efforts, as in former 
times. 

Here then is the result, under favorable circumstances. 
If this man had not been properly instructed in regard to 
his case, in time, he would have become incurably, hope- 
lessly, powerless and probably insane, unless his bodily 
deterioration had terminated his existence. As it is he 
has now a reasonable prospect of existence and of con- 
siderable enjoyments of life, though probably in a much 
less degree, and for a shorter time than he otherwise would. 

UNDUE CONTINENCE, FROM MISTAKEN NOTIONS OF 
RELIGION. 

This was a minister of the Gospel, a man of earnest 
piety, and of the most perfect self-denying character. He 
conceived the idea that it was his duty to fly from all 
fleslily lusts, and devote himself entirely to his religious 
ministrations. This he did most scrupulously, till he was 
twenty-seven years ©Id, though with hard struggling 
against the promptings of sin. " I have," said he, " pass- 
ed entire nights combatting my evil thoughts, and resist- 
ing those physical manifestations which indicate our 
earthly longings. In spite of all my efforts however, I 
realise too forcibly how weak we are, and what an empire 
the old Adam has over our souls. Of myself I see too 
well I can do but little, and my sole dependance is upon 
assistance from above." — 

With this man it was much more difficult to deal, ow- 
ing to his peculiar notions about sin. I could only tell 
him that, in his circumstances, the sin really lay, accord- 
ing to my notions, in what he considered his only virtue, 
and that both his well being and his power of doing good 
depended entirely upon his obeying the laws of nature. 



888 THE PHYSICAL AND MORAL 

His principal reason for applying to me was the singt* 
iar state of his feelings, and a peculiar distress in his 
head. He was subject at times to fits of excitement of 
the most violent character, without any apparent provo 
cation, and even when quite alone. At such times he 
could not rest, but seemed impelled to move quickly about 
in spite of himself, while anger and rage, he knew not 
what for, filled his mind. At other times on the contrary 
ne fell into a state of dreamy languor, or mental torpor, so 
profound that he was scarcely conscious of his own exist- 
ence, and utterly indifferent to anything that occurred. 

Before any of these attacks he usually experienced a 
ouzzing in the ears, with a throbbing in the large veins 
of the neck accompanied by a redness of the eyes and a 
kind of whirling in the brain, which occasionally eveD 
made him feel quite giddy. 

In all respects the life of this man was irreproachable-. 
He was strictly temperate in eating and drinking, took 
plenty of exercise in the open air, and cultivated a cheer- 
*ul contented tone of mind. His general health too, until 
quite recently, had been quite fair, with the exception of 
*, constipated state of the bowels. 

His Genital development was perfect, and his amative 
propensity quite strong, or, physiologically speaking, he 
formed a large quantity of Semen, the excess of which 
nature intended to be expelled according to the laws of 
his organization. This natural expenditure not going on 
however a constant struggle became necessary, the organs 
trying to retain the fluid with which they were overbur- 
dened, but being compelled at times to allow it to escape, 
in the form of nightly emissions. This overcharged con- 
dition of the Seminal organs kept the brain also in a con- 
stant state of excitement, from the powerful efforts requir- 
ed to overcome the feelings and desires engendered by the 
Seminal stimulus. And in this way was produced the 
different moral paroxysms into which he was plunged. 

It was with difficulty I could make him see and admit 
his actual condition, and on no account would he admit 
chat the natural remedy I advised was necessary. He 
had niadfl ip his mind to a life of Celibacy let the cons© 



EFFECTS OF CONTINENCE. 389 

qnences be what they might, and he merely wished we to 
give him medicines to palliate his troubles and to deaden 
his sexual feelings, so that they would not require so much 
effort to overcome them. 

This I of course refused to do, because it required more 
or less injury to the organs themselves, and my duty was 
to heal, not to hurt. I candidly told him, that as long as 
his organization remained perfect those feelings must be 
experienced, and that as long as he persisted in his celi- 
bacy he would always have the same trouble in struggling 
against them. As to injuring the organs, or checking their 
action, as he expressed it. I of course refused to do any 
thing of the kind. 

Finding that my views of duty would not allow me to 
treat him as he wished he left, and for a time I heard 
nothing of him. Afterwards I learnt however that 
some of his admirers, — and he had many of them, — sent 
him on a voyage to Europe, in the hope that change of 
scene and air would benefit him. This however did no 
good, and finally he died in a private Lunatic Asylum, in 
France, after suffering intensely both in body and mind. 

A VICTIM TO BUSINESS. 

'This was a mercantile Gentlemen, who remained un- 
married till his forty-fifth year, when he retired from busi- 
ness, with a hundred thousand dollars, and married a 
young Lady with whom he had kept company for nearly 
fifteen years. For the previous six or seven years he had 
suffered, more or less, in the same way as the Gentleman 
in the first case, but as his business was well regulated, and 
be had excellent agents, his own deficiencies were not so 
apparent, neither to himself nor to others. His stomach 
and bowels had become very irregular, and he was troub- 
led with an almost constant desire to urinate, but other- 
wise his bodily health was quite passable. 

In regard to his sexual powers he admitted that for the 
last three years he had experienced a sensible diminution, 
to much so in fact that he scarcely ever felt any desire ai 
alL Formerly he was accustomed, at irregular intervals 



890 THE PHYSICAL AND MORAL 

to have illicit indulgence, which had doubtless delayed his 
decay considerably, but when about forty-one years of 
age he unfortunately attended a Lecture on Amativeness, 
by a Phrenologist. 

In this Lecture he was told that all sexual connexions, 
except for the purpose of procreation, was improper, and 
that the true way to preserve the generative powers was 
not to use them, except for that purpose. He according- 
ly practised the strictest continence after this, and found 
that his amative propensity became gradually weaker, till 
at last it seemed almost entirely extinguished. He con- 
soled himself however by thinking that all would come 
right at his marriage, and that his present state of rest> 
would only give him greater power afterwards. 

Neither he nor the Phrenologist, whom he consulted, 
were aware that Urinary Spermatorrhoea had taken place, 
in consequence of his continued Continence, and that 
his sexual organs had nearly become powerless. Such 
however was the case, and to his horror he found on his 
marriage that he was nearly Impotent ! 

The state of mind of a man so circumstanced may be 
better imagined than described. " Here I am " — said he 
to me, " a poor, wealthy, imbecile wretch ! In my senseless 
• pursuit of riches I have lost that which all the wealth in 
the world cannot recompense me for. Had I known ten 
years ago what I have since learnt from your book, (The 
Male Organs,) I should now have been fifty thousand dol- 
lars poorer in money perhaps, but a healthy perfect man ! 
I might also have become a proud and happy Father, which 
alas I now never expect to be." 

This was one of the most unpromising cases I ever had 
to deal with, as I candidly told him, but still I undertook 
to do the best I could. 

By means of a good tonic regimen and diet, sea bath- 
iug, Champooing of the Genitals, and the use of the 
Aphrodisiac Remedy, he began in three months to have 
Borne slight indications of power, and in six months much 
stronger indications. It was not possible however to 
make a permanent restoration, because the Testes were con- 
siderably wasted/ They were not so far gone as to be 



EFFKorS OF CONTINENCE. 391 

totally inactive, but it took them a long time to form any 
considerable quantity of Semen, which of course made his 
periods of power and inclination very rare. 

Even what he did gain, small though it was, was much 
more than he ever expected, for he fully believed he was 
incurable and totally impotent. Had I seen him two years 
before I would have answered with my life for making 
him comparatively perfect, for I gathered from what he 
told me that no wasting of the Testes had then taken 
place, and till that occurs no case is hopeless. 

In addition to these I could quote a large number of 
other cases, to show the evils of undue continence, and 
especially some very curious ones in young females, who 
were brought to me as being CJilorotic, and Hysterical, but 
these are quite sufficient for my present purpose. I have 
had a Priest, who declaimed against sexual indulgence as 
improper, and who adduced his own case as a proof that 
Continence was possible, came to me to be cured of a 
loathsome infirmity which that very continence had 
caused. 



OHAPTEK II. 



fHE CONSEQUENCES OF SEXUAL EXCESSES AND ABUSES. 

These consequences are much more frequently seen than 
tnose of Continence, and people are more generally aware 
that they are of a hurtful character, though the actual 
extent and nature of the injuries resulting from them are 
not suspected. 

From a variety of causes, many of which are but little 
known, a majority of human beings are addicted toexcesa 
in sexual indulgences, and to various jnnahiral modes of 
gratification. The reason for this is a matter deserving 



8$2 SEXUAL EXCESSES AND ABUSES. 

of earnest investigation, though unfortunately it has hith- 
erto received but little attention. The Theologian is con- 
tent to ascribe these, in common with all other human 
frailties, to Original Sin, and seeks their source only in a 
depraved soul. But the enlightened student of human 
nature as it really is, recognizes various direct and indirect 
influences, some belonging to the individuals own Organi- 
zation, and others to the objects and circumstances by 
which he is surrounded. These influences often impel 
man to that course of conduct which his reason condemns, 
and which produces untold misery and pain. 

Among these influences may be mentioned Hereditary 
Tendency, Excessive development or morbid irritability 
of the Genital organs, vicious associations, stimulating 
food and drink, and various social institutions more or less 
opposed to nature's requirements. 

In those persons who have little or no knowledge of 
the consequences of sexual abuse these influences operate 
almost unchecked, but in those who have such knowledge 
the fear of those consequences operates more or less as a 
restraint. The influence however is frequently so power- 
ful as to overcome all such restraints, and the victim falls 
into the galph with his eyes wide open, but still impelled 
by a force from which he has neither the power nor the 
desire to escape. There is good reason to believe that 
sexual excesses and abuses produce, directly or indirectly, 
bv far the largest part of human suffering and disease, 
much more in fact than all other causes that can be enu- 
merated. People generally only observe the more palp- 
able and direct consequences of these vices, while the in- 
direct results of them are lost sight of, or attributed to 
Dther causes. 

The sympathies of the sexual Organs are "both exten- 
sive and complicated, in consequence of which their de- 
rangements often affect remote parts of the system, and in 
many different ways, appearing like so many different dis- 
eases. This is especially exemplified in Venereal diseases, 
and particularly in Syphylis, the different stages and liero- 
ditaru modifications of which, extending as they may do 
over several generations, are only just now being under- 



•EXUAL EXCESSES AND ABUSES. 39S 

itood oven by medical meD. (On this point I would refe* 
my readers tv> my Treatise on Venereal Diseases, in which 
all this is fully explained.) 

The connexion between the Sexual Organs and the Ner* 
votis Si/stem, especially the Brain, is another important 
matter, also but little studied or understood, an J vet it is 
(jf the most overwhelming importance. Not only may 
the bodily health of human beings be affected by peculi- 
arities in the action and development of their Sexual 
organs, but the tone and ability of their Minds, and also 
their moral tendencies are under the same influences. 

It is requisite, for the welfare of society, perhaps even 
for its very existence, thai certain actions should be called 
virtuous, and be held up to praise, and that others of an 
apposite tendency, should be called vicious, and be con- 
demned. Every one is interested in the maintenance of 
that moral order which experience has shown to be most 
productive of human happiness, and we must therefore, 
as rational beings, approve of whatever is favorable to 
the maintenance of that order, and disapprove of what- 
ever militates against it. It may be requisite, with this 
end in view, to condemn, or even to punish, in many cases 
where our consciences so far from blaming, see only cause 
for pity and regret. ' The regulation of society must have 
for its end the general good, and to secure this it is often 
'the case that individuals are sacrificed to expediency. 

Thus, for instance, a particular crime, or immoral 
action, is punished the same in all who commit it. though 
we know that it must have been much more crrminah 
properly speaking, in some than in others. Thus for, 
instance, in sexual immorality the degree of culpability, 
properly measured, must be infinitely varied for the same 
offence, though 3.11 are punished for it alike. 

Some human beings are strongly impelled to seek sex- 
ual indulgence from the peculiarity of their organization, 
from disease, or from hereditary tendency, while others on 
the contrary are but slightly impelled, and others even 
avoid it, except at rare intervals. It is therefore evident 
that, under the same circumstances, the effort of self-denial, 
or resistance to temptatior is required to be much greats* 



3D4 SEXUAL EXCESSES AND ABUSES. 

in some cases than in others, and of course the possibility 
of successfully resisting the temptation is proportionally 
less. 

Society however cannot consider these distinctions, be- 
cause it is impossible to ascertain the relative degrees of 
criminality, and therefore similar criminal acts must entail 
similar penalties on all alike. 

The institution of rewards and punishments has becGmf 
such a fundamental principle in our social order that 
whatever we may, in many cases, think of its abstract jus- 
tice, we cannot consent to its being abolished. Till bettei 
motives than fear, and the hope of reward can be gener- 
ally instilled we must, not do away with these, for if we 
do we shall have nothing to fall back upon. 

The Philosophic mind, which traces cause and effect, and 
which draws its conclusions from reasoning, and not from 
passion, must often pity the criminal as a victim, and con- 
scientiously exonerate him from all moral blame even when 
admitting the necessity for his punishment, — so true it is 
that our Social duties and requirements are often at vari- 
ance with our conscientious convictions. As Individuals, 
in our own hearts we must often have charity, or even 
commiseration, for those that social duty compels us to 
condemn ; and, in fact, with reflective minds this is ordin- 
arily the case. 

These remarks I have made to prevent the possibility 
of my being misunderstood, or misrepresented. In the 
course of this book I shall show numerous causes dispos- 
ing, or even impelling, human beings to immoral acts, and 
which causes many cannot escape from. I do not wish it 
to be understood however that I advocate, on this ac- 
count any radical change in our conduct towards these 
persons, for such acts, but merely that we think of them 
justly and charitably in our own minds, and that we strive 
to remove, or modify such unfavorable causes, and so pre- 
vent others being equally unfortunate. As men become 
more experienced the science of preventing evil will be 
generally studied, and then such inconsistencies as I have 
alluded to will gradually cease. The present little book, 
I trust, will do something towards attracting attention U 



SEXUAL EXCESSES AND ABUSES. 395 

these matters, and lead those who read it to reflect and 
reason on human frailties as well as condemn them. 

Sexual abuses commence at a much earlier .period of 
life, in many cases, than is usually supposed, and their in- 
jurious effects are also much earlier experienced. A pre- 
cocious development of the Sexual organs, or a tendency 
to preternatural exaltation of the genital instinct is by no 
means uncommon, and from either cause the most injuri- 
ous habits may be practised even in Infancy. Many per- 
sons suppose that such manifestations never commence till 
the age of puberty, but this is a mistake, they are some- 
times observed, unmistakably, while children are yet in 
their Nurse's arms. 

It is an error to suppose that no injury can result ex 
cept from a loss of Semen, for long before that fluid has 
begun to be formed both mind and body may be irretriev- 
ably mined, by nervous excitement and exhaustion. This 
is of necessity the case with females, who form no Semen, 
and it is also equally the case with males, though few per- 
sons are aware of the fact. 

One of the most obvious principles of Animal Physi- 
ology is, that no vital action whatever can occur except 
through the agency of the Nervous power, — whether we 
think, eat, digest, walk, or speak, every muscle is movect, 
every secretion is produced, and every idea is eliminated 
by the stimulus of the mysterious Nervous fluid, the grand 
excitant and moving power in all Organic or Yital pro 
cesses. 

If the Nervous power be deficient in any organ, that 
organ will work imperfectly, to a corresponding degree, 
an! if it be absent altogether the organ cannot work at 
all, any more than a Steam Engine can work without 
Steam. Any cause therefore which decreases the requisite 
amount of nervous energy in the system causes imperfect 
or inefficient action, either locally or generally, and thus 
predisposes to' disease and premature decay. 

We require so much Nervous power to think, sc much 
to digest, so much for mascular exercise, and so much foi 
all the other organic processes, and in a healthy conditioi 
of the system there is always enough for the proper per 



396 S!£UAL EXCESSES AVD ABUSES. 

fbrmance of them all. If however any one function be 
performed in an exaggerated degree, so as to exhaust mora 
"of the nervous power than properly should be expended 
opon it, the others must of necessity receive less than the} 
naturally should do, and must be imperfectly performed 

Instances of this kind are often seen among Business 
men, who expend so much of their nervous power in in- 
tense mental exertion, owing to pressure of business, that 
they have not enough left to effect digestion, nutrition, and 
all the other processes necessary to the maintenance and 
continuance of the system. In consequence of which they 
become Dyspeptic, debilitated, and Impotent, and after liv- 
ing miserably they at last drop off, in an orthodox business 
wa} , long before they naturally might be expected to do 
so. 

Such men suppose that, Pills, Bitters, and Stimulants, 
or a day or two of relaxation once a year or so will make 
all right, — but they too often find out their mistake, and 
become first rate patients, always on the Books, and calcu- 
lated upon for so many " hundreds " a year, by their phy- 
sicians, with as much certainty as his Bank is calculated 
upon by the Banker for his Dividends, 

In the same way other men think they can expend most 
of their nervous power in Sexual excesses, and yet perform 
sufficiently well all the ordinary organic functions at the 
same time, but they likewise discover their error, and frer 
quently too late to retrieve it. 

The performance of the Generative act requires more 
Nervous power than perhaps any other organic function, 
and of course it exhausts in a corresponding degree. So 
also does mere Sexual excitement, and therefore indulg- 
ence in either should be regulated on proper Physiological 
principles, such as are laid down in my Book called " The 
Marriage Guide." Excesses of this kind are the most injur 
rious of all, and the evils resulting from them are amongst 
the most irremediable. 

Different periods of life, as also different conditions of 
the system, require different amounts of Nervous power, 
and also to have it differently distributed. 

in Adults the Body is only required to Maintain Useff t 



1IXUAL EXCESSES AND ABUSE3. 39Tf 

or to hold its own, but in Youth it must not omy do thia 
but also increase, or grow, to perfect itself. There is there- 
fore required, at this period an extra amount of nervous 
power, and if it is not supplied the body becomes, in con- 
sequence, imperfectly formed. Anything therefore which 
causes great nervous exhaustion is peculiarly hurtful in 
youth, and its evil effects are seen afterwards throughout 
the whole of the individual's life. 

This is the reason why Sexual abuses are so very injuri- 
ous in young persons, and why their effects are so oit^n 
irremediable. Numbers have their growth arrested in this 
way, and remain more or less dwarfed, or weakly develop- 
ed, while in others the internal organs are imperfectly 
formed, and in consequence always act imperfectly, thus 
causing a liability to Disease, and to premature old age, or 
untimely death ! 

Such instances come every day under the notice of the 
observant Physician, and are in fact every where to be 
met with, though there are few who understand them 
aright. Those however who bear in mind the Physi- 
ological principles above laid down, will be able to ex- 
plain them, and to comprehend why our efforts to cure 
such evils so often fail. 

Xo matter in what form Sexual abuses are practised 
during youth the same consequences, to a greater or lesser 
degree, may be expected to follow, and, generally speak- 
ing the earlier the abuses are practised the more serious 
are the after consequences, because of the more imperfect 
stage at which the system is arrested. This is the reason 
why Infantile Masturbation, in both sexes, is so hurtful. 
There is nothing similar to the loss of Semen,, of later 
years, but there is an equal, if not greater amount of ner- 
vous excitement, and exhaustion, and for want of the power 
thus wasted the system cannot perfect itself. 

In like manner Sexual abuses are extremely hurtful in 
the decline of life, because then there is a less amount of 
Nervous power eliminated, owing to the decaying energy 
of the system, and anything which unduly exhausts it still 
further hastens the period of its final extinction. Many 
old men have experienced this to their cost in expending 



398 SEXUAL EXCESSES AND ABUSES 

as much vital power in one Sexual act, imperfectly per- 
formed, as would have sufficed for the ordinary purposes 
of existence for a month. 

In short it is only after the system has perfected its 
growth, and before it begins to decay, that Sexual indulg- 
ences can be practised with impunity, except in the most 
prudent and temperate manner. In the prime of life, with 
a perfect healthy acting body, there is more nervous power 
produced than the system requires merely to live with, and 
this surplus may be safely expended in Sexual indulgence. 

But even at this age, if exhausting labor have to be 
performed, whether bodily or mental, or if sickness makes 
an extra drain upon the nervous power, or lessens the 
quantity of it produced, Sexual indulgences must be cor- 
respondingly abbreviated. 

These are the true principles which should regulate the 
conduct of human beings in these important matters, and 
just in proportion as they understand, and act upou them, 
will they be able to avoid those evils which ignorance, or 
inattention of such things are sure to entail upon them. 

I shall now proceed to detail a series of Cases, in illus- 
tration of these matters, taking them mostly as I find 
them in my note book, and making such comments, and 
explanations, as I may think requisite. They are not ar- 
ranged systematically, so as to apply only to certain topics, 
but are taken promiscuously, to illustrate all. though I 
shall endeavor to make some of the first ones refer mow 
especially to the principles just laid down. 



' The true Philosophy of Marriage, with the anat- 
omy of the Sexual organs, and their Physiological action 
m both sexes, is fully explained in the Marriage 
Guide. 



899 



MISCELLANEOUS "CASES," 

WITH 

NOTES AND EXPLANATIONS 



RETARDED DEVELOPMENT 

This was a remarkable instance of Retarded develop* 
ment, from Masturbation, which, fortunately was partially 
corrected, by the subject of it having his attention awak- 
ened in time. I shall first let the individual speak for 
himself, and make my comments, and explanations, when 
I think most useful. 

To Dr. F. Hollick, 

New York City, N. Y* 
" My dear Sir, 
11 A short time ago I attended your Lectures on Parental 
Physiology, in Philadelphia, and from hearing them I 
have determined to address you. I am one of those truly 
pitiable creatures of whom you spoke, in the early part 
of your discourse, when referring to Infantile Masturba- 
tion, and I am perhaps as painful an instance of the awful 
effects of this practice as you ever saw. When you first 
spoke upon this subject, and pourtrayed the terrible after 
consequences, I was plunged in despair, and truly felt desir- 
ous to ■ shuffle off this mortal coil ' as soon as possible, 
for to live as I am i3 impossible. Your final remarks 

• Vol* Address will always find mo, at an/ time 



400 MISCELLANEOUS CASES. 

however gave me some hopes that possibly it might not 
be too late for me to recover, at least to some extent, ao.d 
it is for the purpose of having your opinion on this point 
that I now address you. On your opinion depends much, 
I assure you ; — I will not however say further on this 
point, bat proceed to my statement, which shall be fully 
and truthful, in every particular, though it has cost me a 
severe struggle to make such a confession, and it never 
would have been made had I not heard you Lecture! 
From your excellent discourse however I felt full confi- 
dence, both in your skill and in your kind sympathy, and 
I therefore reveal to you what I have hitherto concealed 
from every human being, and which, had I not met wit*i 
you I should have carried a secret to the grave. 

I am the son of Parents well to do in the world, and 
who have always, to the best of their knowledge, striven 
to do what was best for me. Unfortunately however their 
kind intentions were but imperfectly realized, owing to 
their want of proper information. 

In early childhood I was very stout and robust, full of 
animal spirits, and active to an unusual degree. Every- 
thing seemed to promise that I should grow up a well 
developed man, but alas all such expectations were doom- 
ed to be disappointed. 

My parents kept a female help expressly to attend upon 
me, whose whole time was occupied in playing with me 
and taking me about. One day she took me with her to 
see some of her friends, who lived m a very low part of 
the City, (Baltimore,) and while engaged gossiping she 
left me to play with the children of the neighbour's, who 
Wdre swarming all around. They were as depraved, mis- 
erable, and vicious perhaps as could be found, and child 
as I was, being not ever four years of age, I could not 
help thinking their conduct and language very strange. 
It was new and exciting however, and that was enough to 
make it interesting, so that in a short time I cast off al) 
restraint and became fully initiated into many of their 
habits and savings, which I thought especially excellent, 
no doubt. Among the rest was one precocious ragamuf- 
fin, older than the rest, who undertook to explain to then 



MISCELLANEOUS CASES. 40l 

rarious mysterious points in physiology and Parentage- 
and the uses of certain parts of theii bodies, to which my 
attention had never before been directed. This was done 
practically, there being both girls and boys present, and 
none having the slightest objection to any kind of expo- 
sure, but rather courting it. The revelations which I 
then heard, given in the grossest manner, and the sights I 
saw, have never been effaced from my mind, but, young 
as I was at the time, they are as fresh and vivid now as if 
it occurred but yesterday. 

Among other things we were all of both sexes, taught 
the habit of Masturbation, to the pleasurable feelings 
from which I was peculiarly liable, owing to my tempera- 
ment I suppose, and from that time I began to give my- 
self up to the habit. I had command enough of myself 
to keep it secret, from my parents, because I felt instinct- 
ively there was something in it they would condemn, 
though I knew not why. My attendant knew, and rather 
encouraged it than otherwise, because it often relieved her 
of the trouble of attending me. In fact the whole group, 
at the time of the initiation, were surprised, in the very 
midst of their proceedings, by my nru-se and one of her 
female friends, who seemed to consider it a capital joke, 
and highly amusing, by the way they laughed about it 
when describing the scene to their companions. She 
however frightened me out of telling any one else about 
it by assuring me I should be severely punished if I did, 
and besides this I did not want to do so, — it was my secret, 
and in my way I felt quite important about it. 

From this time on I continued, more or less, almost 
constantly, to practice this habit, in various ways, till it 
became a perfect furor, and at six years of age I have 
kept awake for hours together, in the night in this way. 

The immediate consequences were that I became puny 
and weak, and irritable in my . disposition, to such an ex- 
tent that 1 was both wretched myself and a source of 
constant discomfort to those around me. To add to my 
misfortune my Parents placed me under the care of a 
Physician, who drugged me, and sent me to the sea side* 
tat all to no purpose, for I did not improve in the slight* 



|02 MISCELLANEOUS CASES. 

est degree. Study I could only pursue at intervals, **>4 
in a very flighty manner, so that I was behind with my 
educatioa, and as my memory was bad I fell far behind 
my schoolmates. 

Things continued more or less in this way till I was 
fourteen years of age, when puberty became established, 
and I began to form Semen. In consequence of thi&, I 
suppose, my Sexual desires and feelings grew stronger, or 
perhaps I should say they then first became natural, and 
I indulged more frequently than ever. I have frequently 
expended the Semen four and five times a day, for several 
days together, till I became so weak I could scarcely walk, 
and quite childish in my mind. My friends all thought I 
was in a Consumption, and none of them ever expected 
me- to live. 

From that time till now I have never grown, and I am 
over twenty-one I Neither do I seem jn any way further 
developed. I am no heavier, — my voice has the same 
sound, and my Sexual Organs are quite as small as they 
were at fourteen years of age. In some respects, however 
I am better than I was, and I attribute it all to this cir- 
cumstance. I was one day passing down the street and 
looking into a Bookstore window, I saw your Book on 
" The Male Organs" and from curiosity went in and 
bought it. The perusal of that book first opened my 
eyes, and made me begin to think that my weakness and 
sickness was caused solely by Masturbation. It is true 1 
had partially suspected this before, but the impression was 
not strong enough to make me leave off the habit. Now 
however I determined to do so, and by hard striving I 
partially succeeded. 

At times I had felt, for a year or two past, much bet- 
ter, and my mind became a little stronger, and more set- 
tled, so that I made up a little for my past deficiency, and 
began to reflect upon my situation. While in these favor- 
able moods I did pretty well, and conquered my fatal in- 
clinations, but when the mood past off I fell back again. 

It was in my seventeenth year when I purchased your 
Book, and from then till now I have been struggling in 
Ibis way, and on the whole perhaps I have gained* nut 



MISCELLANEOUS CASES 403 

still very little, and latterly I have begun to fear I should 
never be much otherwise than I am. This fear began to 
haunt me continually, and I had made up my mind to 
come tc New York to see you when I noticed the Adver- 
tisement of your Lectures here, and to my great joy had 
an opportunity of hearing you. After I left the Lecture 
room I determined, in the first place, to write to you, and 
then, if you thought there might possibly be anything 
done for me, I would visit you personally. I am rich 
enough in this worlds goods, having inherited considerable 
property, and am both able and willing to recompence you 
to any extent you may think requisite, within a reasonable 
amount. Money I value no more than the dust under my 
feet, for unless I can be made a man I shall not need it, 
and if I can be, I shall be quite glad to give it to my 
saviour . 

I have thus my dear sir, made a sufficient confession, I 
hope, to enable you to judge of my case, and I trust you 
will render me your reply as promptly as possible, for you 
may well imagine the agony of suspense in which I am. 
Excuse my long and rambling Letter, which is, I fear, like 
my mind, very confused, — and accept the enclosed check 
as a retaing fee. 

" Yours, most truly, 



Upon fully considering this Letter I concluded it was 
possible that the subject of it could be helped, though to 
what extent was uncertain, and so I informed him. The 
result was an interview, in which I found him, as his let- 
ter described, half developed, puny, and weak minded, but 
still with indications that originally he had been possessed 
of a good constitution. There were also indications that 
nature was even now endeavoring to recover her lost 
ground, and some little growth, with occasional increase 
of mental power, gave Jtopes for the future. 

At his earnest request I at once commenced to advise 
and to treat him, his circumstances fortunately being such 
that he could live as I choose to direct. In the first place 
I prescribed sunh a regular course of diet, daily exerciaa, 



404 MISCELLANEOUS GASES. 

bathing, and friction of the skin, as I thought most like!* 
to promote his general health and bodily growth. With 
that I also commenced to treat the Genital Organs, in the 
most active manner, feeling assured that their develop- 
ment would stimulate the whole organization, and add to 
the power of both body and mind. 

The Cougester was used daily, with shampooing, and my 
Aphrodisiac Remedy was also used, though very carefully. 
The result began to be obvious in less than three months / 
The Genital Organs increased in size and power. The 
Semen was secreted in greater quantity,— and the Sexual 
desire became strong and natural. The whole body also 
soon began to develope most obviously, so that his friend3 
made remark of it, and his mind became more manly in 
its tone, and more steady, so that he was capable of more 
continued mental exertion, and soon extended his acquire- 
ments considerably. One difficulty however arose which 
I had forseen, but could not altogether prevent. His con- 
tinued practice of Masturbation had of course both weak- 
ened and irritated the Genitals, so that when fhe Semen 
began to be secreted in greater quantity it could not be 
retained, and he suffered from Spermattorrh&a. To such 
an extent did this evil prevail, especially in the urinate 
form, (as described in my book on " the Male Organs") 
that I feared it would counteract all I could do. By de- 
grees however it was overcome, by Cauterization, and then 
the real advance commenced in earnest. 

In the course of the pext two years he seemed almost 
to leap forward, so rapid was his growth, till I feared he 
would become sickly and weak from it. By good Tonic 
treatment however, and constant care, this danger was 
avoided, and he continued to advance, so that in his twenty 
fifth year he was fully up to the average standard of 
young men of that age, in size, weight and strength. His 
mind was also quite active, and of good ordinary capacity, 
though not capable of very powerful or long continued 
efforts. No one who had known him formerly ever sup- 
posed it possible for him to become what he was, and ha 
himself felt so elated that he entirely overlooked tht 



MISCELLANEOUS CASES 405 

actual deficiencies which still existed, and thought himseli 
perfect enough. 

His greatest pleasure was in writing regularly to nie< 
and constantly noting the different stages of his advance- 
ment, and speculating as to the future. I never knew a 
patient more gratified or more grateful. In one of his 
Letters he remarks, " such as I now am you have made 
me, for without your assistance and advice I certainly 
should not have now been in existence ! " 

The Sexual powers of this young man became quite 
good, though irregular in their manifestation, and he was 
fully capable of the duties of Married Life, but not so 
frequently as in the generality of persons at his age. 

On this case I shall make but few comments, because 
it tells its own tale, in most respects, and the instruction 
it conveys must be obvious. The principal facts indicated 
by it are the arrest of development, caused by the loss of 
nervous power, from sexual abuse, and the recommence- 
ment of growth when the sexual power became restored 
If the Sexual Organs had not grown, and become active, 
no other development would have occurred to any useful 
extent, and if their weakness and irritability had not been 
overcome he would soon have died from Spermattorrhcea. 

It was also fortunate that proper attention was bestow- 
ed in time, before the period when growth is possible had 
passed. In several such instances I have been consulted 
too late, when that time had gone by, that is for the bodv 
generally, though the Sexual Organs may often be much 
perfected until nearly the thirtieth year, and of course the 
energy of the system, — especially of the mind, — along 
with them. 

The Moral Lessons which such a case conveys, particu- 
larly respecting the patient's childhood, must, I think, be 
clear to all, and do not need special remark. There are 
more children exposed to similar evils than is usually sup- 
posed. 

Unfortunately this individual was killed, in one of those 
steamboat accidents which are unfortunately so frequent out 
West, or he would now have been a remarkable instance 
of what proper Medical and Hygienic means can accom- 



406 MISCELLANEOUS CASES. 

plish, even in the most unpromising cases, when employed 
on correct Physiological principles. 



Similar cases to the above I often have eommunicated 
to me, not only by Males but also by Females, many of 
whom are taught such practices by their domestics, or at 
school. 

In one such instance the patient was perhaps the most 
wretched victim of alternate excitement and depression 
of the Nervous System ever seen. At times she was sub- 
ject to fits of almost frenzied agitation, and was so rest- 
less, both bodily and mentally, that she could not sit 
down, nor sleep, nor speak on the same subject two minutes 
together. At other times she would be perfectly listless, 
and almost as if suffering from Congestion of the Brain 
Indifferent to all about her, powerless and torpid she seen? 
ed altogether too low ever to rally again. 

All that 'could be ascertained about the origin of he* 
suffering was that she had been taught the practice of 
Masturbation by a female domestic, when about ten years 
old. She had never Menstruated, though nineteen year?! 
of age when I saw her, and she had many peculiar imper- 
fections in her organization. The Pelvis, and internal 
Organs were unusually small, while the external Genitals- 
were remarkably large, and singularly irritable. Her 
head was also small, and her muscular system lax. 

The case was interpreted easily enough by these signs 
Her development was imperfect and irregular, from the 
nervous excitement and exhaustion she had undergone 
just previous to puberty, from the habit that h'ad beeb 
taught her. 

Every means was tried to lessen the irritation of he* 
Bystem, and to perfect her development, but all failed 
She died before her twentieth year, almost a maniac. 



MISCELLANEOUS CASES. 407 

OASES SHOWING THE USE OP THE 
MICKOSCOPE, 

IN DETECTING THE ABSCENCE OF THE SEMINAL ANIMALCULES, 

Those who have read my Marriage Guide will be aware 
that the Semen can impregnate only when it contains liv- 
ing and perfect Animalcules, and that many men may be 
able to have connection, and even appear Vigorous, in 
whose Semen there are no perfect living Animalcules. 
Such men of course can never become Fathers, though 
they may be totally unaware of their imperfection, and 
always ascribe the fault to the female. 

This state of things can only be detected by microscopi- 
cal examination of the Semen, which in the course of my 
practice I am often called upon to make, frequently with 
very unexpected and curious results. 

Some years ago I was waited upon by a married couple, 
of high standing in society, to get my advice in regard to 
their being childless. They had been married nine years, 
both were young, and apparently perfectly healthy. The 
Gentleman informed me that, independent of the gratifi- 
2ation to their own feelings, which were intense for off- 
spring, it was of the utmost importance they should have 
a child on other accounts. It seems a large property way 
so left that their child would inherit it, if they had one, 
or themselves as its heirs even if it died, while if they 
lied childless it would "go to a distant connection of the 
p amily, who was already enormously rich, and a very un- 
3eserving personage into the bargain. 

Here there was both happiness and. wealth at stake, 
and I was requested to do or suggest everything in my 
power. 

The parties were fully communicative, and disposed to 
hear anything, or to discuss anything that I thought neces- 
Bary. The result was that I became fully convinced thg 
Lady was in no way whatever imperfect, but fully capable 
of Conception, and consequently the fault was with tha 
Husband ! On stating this to him he was amazed, and 



408 MISCELLANEOUS CASES. 

quite incredulous, for, said he, how am 1 wrong ? L enjcy 
the same feelings, and the same powers as other men, and 
have even a copious Seminal Secretion. I then explained 
to him in what I thought the difficulty consisted, and a 
Microscopical examination of the Semen was at once in- 
stituted. My surmise proved to be correct. There were 
only a few, very imperfect animalcules contained in it, 
utterly inefficient for the purpose of impregnation. The 
examination was of course frequently repeated, to make 
sure that this was the normal condition, and always with 
the same results. 

On the true state ;t' affairs being made obvioas to him 
he became unusually thoughtful, and evidently brooded 
over the matter most intensly. At last he remarked, in a 
half abstracted manner, " well, it has always been my 
strongest desire that Maria, (his wife,) or her children, 
should inherit this property, and it shall be so, — if pos- 
sible ! So now Doctor wliat can be done ? " 

I told him at once that I believed the case was hope- 
less, for :he imperfection, in his case, was not the result 
of weakness, disease, or over indulgence, such as can often 
be recovered from, but was evidently constitutional, aLd I 
therefore could hold out no prospect of its removal. I T e 
madt me the most liberal offers if I could succeed in mak- 
ing him capable, but I told him at once I could not dr 
ceive him. 

Soon after this they returned to Europe, where thi 
property lay, and I heard no more from them for foro 
years, when one day the Gentleman again called upon me 
and after stating that they had been travelling for soim 
time, requested me to call and see his wife, who was some 
somewhat indisposed, and desirous of seeing me. On en 
quiring after his health I found him just about the same 
as usual, only much stouter, as is often the case with such 
constitutions on approaching forty years of age. He wat 
unusually cheerful however, and on leaving remarked, in 
a matter of course way, and with an evident effort to b* 
unconcerned, — " by the bye Dr. our little me is not very 
well either, and I shall be much obliged if you will pajf 



MISCELLANEOUS CASES 409 

jiarticalivr attention to him, for you know how much de 
pends on his life ! " 

The announcement took me quite by surprise, and he 
probably saw by my look that it did so, for he at once 
apologized for not having- told me of their good fortune 
before, knowing how I should be interested in it. But, 
said he, it is now three years old nearly, a^d I forgot that 
you had not been informed of the happy event. I of 
course made no remark, but paid my visit, and found the 
mother and child only a little inconvenienced by the jour • 
ney. and change of air. In a short time they were quite 
well asraiu. 

A happier couple I have seldom seen than they were. 
The child was adored by both, and fortunately seemed 
likely to live to reward them for their care and affection. 

There was however a little awkwardness and restraint is 
their manner to me, and an evident avoidance of the sub- 
ject of our first conference. Only on one occasion, just 
on the eve of his departure for Canada, did he allude to 
it. He then remarked, " Doctor, could any one else find 
out what you told me four years ago ? " No. sir, said I, 
only by the same means, and there are perhaps not two 
other men in the world who would think of using them. 
" Oh well." said he, "I am glad of that, though its of 
qo consequence now, because matters have turned out 
right at last you see, and Maria's property will not go to 
those who had no right to it." To this I replied not and 
he went away. Six months after he died of Apoplexy, 
quite suddenly, to the great distress of his wife, who was 
sincerely attached to him. Her grief in fact made her 
quite sick, and for some time her life was despaired of, 
but finally &he recovered, apparently more from love to 
her child than from a desire to live on her own ac- 
count. In fact her whole existence seemed devoted to 
her son. whom she watched with unremitting care 

One d «y that it was indisposed, I was called to see 
it, and found with her an old female friend, one of those 
who always say whatever comes uppermost, without 
thinking of consequences. I had assured the mother 
that nothing serious was the matter with the child, as 



ftO MISCELLANEOUS CASES. 

indeed her family Physician had stated just before, when 
the female friend, an old Lady, remarked that the child 
bad a thick neck, and " what a pity it would be if it took 
after its Father, and was Apoplectic ! " I could not for- 
bear looking toward the mother, whose eyes met mine, and 
I saw at once that she detected my after-thought in a mo- 
ment, when I gravely said I thought there was no dan- 
ger ! 

Some days after she requested to see me, on the eve of 
her final departure for Europe. A candid admission was 
made to me that my first judgment had not been invalid- 
ated by what had occurred. Suffice it to say, the Hus- 
band had determined, with her concurrence, that her child 
at least should inherit the coveted wealth, even if one of 
theirs could not, — and hence what had followed. They 
had thought I might imagine a change had occurred iu 
him, and that matters were perfectly natural, which was 
the reason why our first consultation was never referred 
to. The old Lady's remark however, and my manner of 
replying, showed the mother that I was not deceived, and 
hence the confession. Of course it was no concern of 
mine, ami I could only assure the mother that the secret 
was perfectly safe. He had been, I fully believe, almost 
as happy as if really a parent. 



On another occasion I had for a patient a married Gen 
tleman, but Childless, who had unfortunately got entan- 
gled with an intriguing Mistress, who was perpetually ex- 
torting money from him. Being rich however, this was 
not of serious moment, but at last the Lady became Preg- 
nant, and in due time was safely delivered of a son. My 
Patient was now informed that he must make ample pro- 
vision for this new comer, and for its mother, for Life, or 
some very disagreeable' disclosures should be made. I 
was not aware of this event till the child was ten months 
old. The Gentleman then mentioned it to me to explain 
the gTeat embarrassment and trouble under which he 
labored, and which was acting very prejudicially upon his 



MISCELLANEOUS CASES. 41 ^ 

health. I was then treating him for Spermattorihcea, 
which had begun to weaken his powers and to affect hig 
mind. My Microscopical examination had shown me that 
he was naturally imperfect, like' the Gentleman in the pre- 
vious case, and I at once saw that he could not be the 
Father of the young stranger. He however had no idea 
of this, and was really desirous of settling upon it a hand- 
some annuity, but some unexpected embarrassment- had 
made it difficult for him then to do so. Being my Patient 
I considered it my duty to tell him the truth, to prevent 
his being imposed upon. He was both astonished and 
indignant on learing this unexpected fact, and would at 
once have had a final, and nc* very friendly interview witL 
(he Lady, but the fear of consequences deterred him. 

Now here was a terrible state of embarrassment for a 
man. with no apparent means of getting clear. He must 
eitiier be plundered and imposed upon to maintain the off- 
spring of another man, or he must be disgraced, and his 
domestic happiness destroyed, by a disclosure of his own 
improper doings. "What was to be done ? In his despair 
be was almost driven to suicide, but by degrees his mind 
was calmed, and I induced him to consider his predica- 
ment in a proper manner, with a view to his extrication. 

After consideration I told him I thought I saw a mean3 
which might be successful, and though not called upon to 
do anything of the sort, as a Medical man. yet out of 
consideration for an old and liberal patient, I consented 
to try. At my suggestion the Lady was induced to visit 
me. as a patient, she being a little indisposed. I saw at 
once that she was a designing intriguante, but evidently 
not overburdened with information, and readily impressed 
by a confident manner of speaking. 

After attending with all due consideration to her own 
case, the conversation was gradually turned towards the 
Gentleman her friend, who I remarked was one of those 
peculiar beings, that Medical men like myself occasionally 
met with, whose bodily imperfections would never be sus- 
pected ! This piqued her curiosity, as I intended it to do, 
and led her to inquire more closely what kind of imper- 
fections I alluded to ? The matter being thus entered 



412 MISCELLANEOUS CASES. 

apon T at once told her, in an off kaud manxer, thai ii 
was impossible for him ever to be a Father ! The aiv 
nounceinent seemed to come upon her like a clap of thun- 
der, and for some time she 'remained silent. Finally how- 
ever, putting on a show of offended dignity, she remarked 
that perhaps I was not aware of the relation in which the 
Gentleman and herself stood ? Excuse me madam, said 
I, but I am aware of your liaison perfectly well. Oh ! said 
she, that is not what I mean, you do not know then, it 
seems, that he is the Father of my son, now T ten month's 
old ? No madam, said I. Nor can such be the case ; — 
it is an utter impossibility ' 

This assertion brought on a perfect scene of rage and 
assumed grief at being suspected, but finaPy the tempest 
' cooled down and she began to talk more coolly. I told 
her that I had no wish to give offence, *vnd was entirely 
ignorant that my friend was accused of being the parent 
till just now, and that in all probability she was deceived 
herself. Finally she seemed to change her tactics, doubt- 
less from a consciousness of being in the wrong, and at 
last asked me, with evident interest, if the peculiar imper- 
fection which I spoke of in the Gentleman could be prov- 
ed? I assured her it could be, and that if called upon in 
evidence I could readily prove it, beyond a doubt. This 
evidently put her completely to a nonpluss, and she went 
off, quite crest fallen. 

At my suggestion the Gentleman entirely discontinued 
his visits to her, and treated her in quite a cool manner, 
as if he no longer had any fear. This created a disposi- 
tion on her part to come to terms, and by the agency of 
a legal friend, who visited her for the purpose, and hinted 
something about a possible prosecution for attempted im- 
position, matters were finally arranged, and for a reason- 
able consideration she and the child went away, and my 
friend was relieved from his embarrassments. 



On another occasion I had a Patient who died of Coa- 
wimptioa at the age of twenty eight, leaving a widow, and 



MISCELLANEOUS CASES. 41$ 

ft son aged three years. It bad been what the French 
sail a marriage de convenanct, in which there was neither 
affection nor even respect on either side. 

This Gentleman made one of those unjust wills by 
which his widow had the enjoyment of a handsome in- 
come for life, providing she never married again. The 
disposition of considerable property also depended on the 
life of the child being preserved till he became of age, 
N ow the widow had no desire whatever for another* mar- 
riage — probably from her experience of the first, — and 
was quite satisfied with her condition. She almost idol- 
ized her child, and devoted every moment to his care. — 
lie was perfectly robust, and no apprehension whatever 
crossed her mind in regard to his health till in his fifth 
vear. She visited a part of the country where lived the 
connections of her late husband, with whom she had never 
been at all acquainted. The marriage had been altogeth- 
er the work of so called friends on both sides, and respect- 
ng the family or antecedents of her husband she knew 
rery little previous to their union, and cared nothing 
about after. 

Being now however quite free from all restraint, and in 
the neighborhood, she naturally sought some further infor- 
mation respecting him that was gone. To her great con- 
sternation she learnt that his whole family had always 
been noted for their tendency to Consumption. Very few 
of them where then left, the majority in every Branch, 
having died quite young, and not one having been known 
to live over twenty-eight years, which was the age of her 
nusband at his death. It was in fact generally called the 
doomed family, and an old Nurse thoughtlessly remarked. 
as a matter of course, that little Charley, strong as be 
looked, would never see his thirtieth year, even if he pass- 
ed childhood. The mother became at once almost frantic 
with despair. She looked upon her darling boy as doom- 
ed also, and thought with horror of the day when he 
would be taken away from her, perhaps when just burst- 
ing into manhood and promise. 

I have never seen a woman so entirely possessed by one 
idea as she was with this. She left the neighborhood at 



414 MISCELLANEOUS GASES. 

©nee where she had learnt this fatal news, a»cd began r* 
solving numerous plans to escape the threatened evil, bu* 
with no confidence in any of them. Finally she came to 
me, to ask my advice as to the probable success of a re 
moval to another part of the Globe. Our consultation 
was of course confidential and full in every respect, bo 
cause I feel it necessary to arrive at the true cause of her 
evident terror and apprehension. I had previously be^n 
her medical adviser, as well as her husband's, whom I had 
also known before his marriage. 

Now it so happened that he had consulted me immedi- 
ateiy after their marriage, in reference to his Sexual pow- 
ers, which were rapidly failing, as I discovered, from 
Urinary Spermattorrhoea. This was arrested and he par- 
tially recovered, but only imperfectly. In the course of my 
Microscopical examinations I discovered that he 'was then 
totally impotent, there being but a very few animalcules 
in his Semen, and all imperfect, though he had, to a cer- 
tain extent, the ordinary Sexual powers. 

This fact I had intended to make known to him in order 
to °xplain better his real condition, and also why he had 
no family. To my surprise however he announced to me 
one day that his wife was pregnant ! Of course I did 
not then feel called upon to state what I knew, more 
especially as the expectation of an heir seemed to give 
him great pleasure. His health also was evidently failing, 
and I expected his death from Consumption even before 
it occurred. This secret therefore was mine alone, and 
would have been buried with me, but for the present state 
of affairs. I knew that this man was not the father of the 
child whose mother was then suffering from such terrible 
apprehensions. I felt perfectly assured in making the as- 
sertion I afterwards did, and I had no doubt but that my 
accusation would both be admitted and pardoned, for the 
sake of the consolation it would bring. I therefore said 
at once, in the most decided and emphatic manner, that 
the child was in no danger whatever from his connection 

with the family of the late Mr. / The. way in 

which I said this evidently caused both surprise and inter- 
oted attention, and in a aomewhat confused manner sfa 



WSCELLANEOUS OASES. 41ft 

**ked me to explain what I meant ? I then remarked, 
without any comment, and as a matter merely of profes- 
sional interest, that the boy was perfectly safe from that 

source, because it was impossible Mr. could have 

been, at that time, his Father ! 

It is not necessary to attempt a description of the con- 
fusion, shame, and pretended anger which at first followed. 
Suffice it to say all this passed off, and in tearful humility, 
but with eager earnestness I was asked if this was beyond 
doubt. I assured her it was so, and that her child run no 
risk of inheriting the Consumptive fate of her late hus- 
band. Of course I could not say what risk he might run 
from his real father, because he was unknown to me. 

The neculiar mental condition of this woman, at this 
time, was one of the most curious perhaps ever known. 
Consternation at the discovery of what she had no doubt 
thought past discovery, and shame at thinking I had 
known it so long, was intermixed with real joy and thank- 
fulness at the escape of her child. I of course assured 
her that the secret was as safe as if it really rested with 
her alone, and that to me it had no other interest than 
professional one, and would never have been disclosed even 
to her but under such circumstances. 

Immediately afterwards she departed with her child for 
France, where she intended to bring him up away from 
all the associations of her own previous life. 

On the eve of her departure I received anonymously a 
handsome present, with these words — " I had never dared, 
or wished, to think it might be as you said, but now know 
it must have been so, and feel that I ought to make you 
this acknowledgment." 



SOFTENING OF THE BRAIN. 



This is a much more frequent disease than most peopte 
save any idea of. Medical men are only just beginning 



41$ MISCELLANEOUS CASES. 

to appreciate its importance, and to be aware of the fear 
ful destruction of intellect and life, which is caused by it. 
Softening of the Brain is the same disease, essentially, an 
that called Spinal Consumption, of which the old writers 
tell us so much. 

The causes of this justly dreaded disease were till lately 
unknown, or but vaguely suspected, and a variety of 
Theories were invented to account for it. Lately how 
ever, its connection with Sexual derangement, in the ma- 
jority of cases, has been established conclusively, and to 
make this clear we must give a little Anatomical and 
Physiological explanation. 

The substance of the Brain, and of the Nervous Sys- 
tem generally, is essentially different, both in its structure 
and composition, from all the other parts of the body, and 
therefore it requires to be nutrified in a different way, and 
by different material, from any other part. All the Vital 
Organs may be perfect, and the Muscular system well de- 
veloped and supported, owing to their special nutrition 
being complete, and yet the Nervous System may be in a 
state of decay. It is true that decay of the Nervous 
System is soon followed by decay of all the other parts, 
but it may commence independently of any imperfection 
in them, and even while they are as perfect as usual. 

The actual material, or substance, of the Nervous Sys- 
tem, as elsewhere remarked, is almost identical with that 
of the Seminal fluid in Man, and of the Ovae in Woman, 
and its composition is also very similar. 

In all probability the same vital effort which calls forth 
the Generative Elements also creates, at the same time, 
the Nervous substance. Whenever therefore the produc- 
tion, or nutrition, of the one is imperfect, so is that of the 
other. There is therefore not only a close sympathy, but 
a real coincidence of origin, and mutual dependence of 
existence between these two most mysterious portions of 
our being. The Brain and the Sexual Apparatus are 
placed at the opposite extremities of the body, like the 
two poles of a Galvanic Pile, each being connected with 
the Spiaal marrow, which unite them. When one of 
these Poles is overcharged with vital power, the other is 



MISCELLANEOUS C4SES. 4H 

•mdercharged, and when one is exhausted the otbei is soos 
in the same condition.* 

This explains at once why excessive mental exertion t> 
often followed by Sexual importance, and why, on th« 
contrary, Sexual abuse so frequently destroys the intellect. 
Softening of the Brain is caused by an actual deficiency 
of some of the substances composing it, and these sub- 
stances are precisely those that are carried off by the 
♦Seminal discharge. When a man expends too much Semen 
therefore he does the same thing as if he really destroyed 
a portion of his brain, because he takes away that which 
is necessary to nutrify it. Nature will not produce enough 
of these substances to make Brain and to allow of licen- 
tious indulgence at the same time. In this way arises 
softening, or chronic decay of the Brain, a disease which 
may be very slow in its progress, but every step of ^hich 
weakens the intellect more and more, and which eventually 
causes either death or idiocy. 

It is not wilful Licentiousness alone however which 
leads to softening of the Brain, but more frequently it 
arises from Urinary Spermattorrhoea, or loss of Semen in 
the urine. This is a most destructive and insidious dis- 
ease, but little known to Medical men, and almost totally 
unsuspected by the people at large, numbers of whom are 
its daily victims. The first, and only full account of this 
disease, in the English Language, was given in Dr. Hol- 
liek's Treatise on " The Male Generative Organs," to 
which the reader is referred for fuller particulars. 

In treating softening of the Brain, or the Sexual diffi- 
culties from which it arises, it will readily be seen that 
quite a different course is required from that which is pur- 
sued in other diseases. It is not only necessary to arrest 
the Nervous decay, and Seminal loss, but also to supply 
such substances as will make more new brain, or new Gen- 
erative elements, and this none of the ordinary Medica- 
ments will do. There are but few things in fact that are 
suitable for this purpose, and it requires an accurate know- 
ledge of their real properties, and of the true ChenncaJ 
imposition of the Nervous and Seminal matters, to know 

* See plate on page 372. 



418 MISCELLANEOUS CASES. 

how to properly combine and apply them. The ordinarj 
Cordials, and Invigoraiors, are mere excitants, or stimu- 
lants a3 elsewhere explained, and only excite for a tim« 
the little Nervous or Generative matter that is left, but 
do not stop its decay, nor cause a new production of it. 

The effects of softening of the Brain are worse even than 
those which follow from Urinary loss of Semen, because 
they affect more generally, and quickly, the whole system 
It is also a more hopeless disease than Spermattorrhoea, 
unless taken very early. Its extent cannot always be 
judged of however by the apparent effects, as some pati- 
ents will suffer much from the first, while the Disease is 
but slight, and others will hold up for a considerable time 
against it till they give way all at once. 

The condition of a person suffering from Softening of 
the Brain is, in the main, much like that of one suffering 
from confirmed Spermattorrhoea, and it requires careful 
Microscopical examinations to tell which of the twc 
troubles is being experienced, or if both exist together. 
Usually however there is more mental imbecility in Soften 
ing of the Brain, with a greater change of character. Tha 
patient feels that his mind is passing away. He cannot 
think clearly, and has a sensation as if his head were really 
empty, and as if he would like every moment to close his eyea 
and go off ! There is no possibility of rousing a ma?n in 
this state, nor of doing him good in any way, till the 
waste of the Brain is arrested and the process of renova 
tion recommences. 

Many patients remark, after their recovery, that they 
used literally to lose themselves, and forget who and where 
they were. One Gentleman assured me tha* on waking 
in the morning he would frequently be half au hour or 
more before he could make out who he was, and what he 
should do. It would partly come in his mind and then gc 
out again, till he got some stimulant, and then, for a time, 
he would gradually come round. The fact was that his 
ideas were previously only half formed, and imperfect, 
owing to the imperfect condition of his Brain. He could 
no more think perfectly than a man can labcui hard who 
has weakened muscleu. 



MISCELLANEOUS CASES. 



NERVOUSNESS. 



It is scarcely necessary to remark that Nervousness ia 
my general, and spoken of as something which all people 
are supposed to be acquainted with, but still it is some- 
tiling which no one can describe or define. The term 
Nervr.ms is applied to such a variety of bodily and mental 
derangements, combined so differently in different people, 
that it is scarcely possible to find two nervous people 
whose experience is the same. . This however need not 
surprise us when we reflect upon the functions of the ner 
vous system, and its associations with every part of the 
organization. Itself the source of all organic power, 
upon which every part depends, and by which alone the 
whole is maintained in action, it cannot experience the 
slightest derangement without affecting all that is depend- 
ant upon it. If the integrity of the Brain and Spinal 
Marrow be impaired, we not only experience mental im- 
becility, or moral perversity, but derangement of the 
Vital organs also, though in their structure they may be 
apparently as perfect as we could wish. 

Even a slight affection of the great Nervous centres 
causes sympatlietic derangement of everything else, which 
is the reason why nervous people suffer from such a compli- 
cation of symptoms, without perhaps having a single 
organic disease they suffer the peculiar effects of almost 
every disease known. Once correct the vitiated condition 
of the Nervous System in these cases, aud all the symp- 
toms vanish at once, so that the patient passes in a single 
day almost, from the extremest misery to well being and 
happiness. Uninformed people either ridicule such cases, 
or else attribute them to mere deception or wilfulness, but 
those who know their nature look upon them as among 
the most interesting that can be met with, and eminently 
deserving of true sympathy. 

A deranged condition of the Nervous system arises 
either from actual decay or change, in the Nervous mat 
ter itself, as in Softening of the Brain, or else from sympa 



#20 MISCELLANEOUS CASES. 

thetic irritation, as in various derangements of the Sexual 
Organs. In fact the nervous system becomes deranged 
through the influence of other parts in nearly every 
instance, and seldom suffers from any disease originating 
within itself. Iu the majority of cases Sexual derange- 
ment precedes, or accompanies nervous derangement, and 
must be corrected before the Nervousness can be over- 
come. 

In Nervous females the Womb, or Ovaries are affected, 
and in Nervous men the Testes or Prosrtate Gland, almost 
invariably, and to those who are acquainted with the 
Physiology and connections of these different parts of our 
organization, this mutual action and reaction will be no 
mystery. Those who have not yet become acquainted 
with these matters are referred for a full explanation, to 
the Marriage Guide. 

The great misfortune for Nervous people is, that they 
are seldom treated^Tor the disease under which they really 
labor, but only for the secondary derangements to which 
it has given rise. The effects only being observed, while the 
cause remains unnoticed. This is owiug to the general in- 
attention, among medical men, of all matters relating to 
Sexual Physiology and sympathy. Now for instance, a 
female will have chronic irritation of the Womb, or 
Ovaries, giving rise to the most curious train of nervous 
derangements and symptoms, and will be treated with the 
utmost skill as a Nervous Patient, without the slightest 
benefit, but once remove the Ovarian or Uterine irritation 
and the Nervousness ceases at once. Numbers of men 
also lose their judgment, and memory, and become wretch- 
ed to the last degree, from Urinary loss of Semen, which 
must be stopped before any assistance can be rendered to 
them. 

Severe Sexual derangement will even cause actual wast- 
ing of the nervous substance, as before experienced, and 
on the other hand any serious disease, or exhaustion, of 
the nervous system, reacts upon the Sexual organs and 
deranges them. In the great majority of cases however, 
the Generative Organs are the first to become impaired, 
&ud the Nervous system follows^ in both sexes. 



MISCELLANEOUS OASES. 491 

This intimate mutual relation of the Nervcus and Sex 
nal systems will be made more evident by an inspection 
of the Frontispiece Plate of the " Nervous and Sexual 
Centres." 

The Brain is composed of two perfectly distinct halves, 
either of which may act, or become diseased, without the 
concurrence of the other, — the same as either Testicle or 
Ovary may act perfectly, or become diseased, independ- 
ently of any action, or affection of the other. 

The Testicles in the Male, and the Ovaries in the Females, 
are precisely similar, both in their organic functions and 
in their sympathetic relations. In fact they are identical, 
in every respect, in the earlier stages of development. 
The Testicles are merely more fully developed Ovaries, in 
the same way that all the Organs of the Male Generative 
system are merely more perfect developments of corres- 
ponding parts in the female. 

The two Sexual Centres, and the two Nervous Centres, 
stand to each other in the relation of Electric Poles, being 
Positive and Negative reciprocally. If an undue amount 
of power be concentrated, or expended, in a Sexual Cen- 
tre, the opposing Nervous Centre must be proportionally 
deficient in power, and on the contrary if. the Nervous 
Centre be over excited the opposing Sexual Centre must 
become torpid. 

This will make the true nature of all cases of Sexual 
or Nervous derangemeut evident, and will also show the 
reason why all past treatment of them has been so useless. 
Dr. Hollick has found out, from his experience, that all 
the old ideas on these subjects were fallacious, and he has 
been compelled to study out the true explanation of them 
from actual observation and experiments. These views 
therefore are entirely new, and are now for the first time 
laid before the public. In a short time they will be more 
fully elucidated in a work which Dr. H. is now writing 
exclusively upon the Nervous system. 



422 MISCELLANEOUS CASES. 

PERFECT RECOVERY FROM IMPOTENCE, 

BROUGHT ON BY EXCESSES. 

j*n t this case we have an example of a very large class, 
Persons naturally of powerful Sexual Organizations, c» 
pabie, in the first vigor of virile power, of the most con* 
tinuous and exalted enjoyment, but, from ignorance alone, 
becoming dispirited, debilitated, and impotent. It also 
shows that, in even the worst of such cases, it is generally 
possible, by the use of proper remedies, to recover most of 
what had been lost, and to rejuvenate the Sexual Organs 
after their functions are thought to be entirely extinct. 

The individual living at a distance communicated with 
me by the following: Letter. 

To 1)r. Hollick, 

New York City, N. Y. 
" My dear Sir, 

A fortunate charfce having thrown in my way your 
invaluable and unique Book on " The Male Generative 
Organs," I have determined to address you in regard to 
my case, feeling fully assured that if any mortal man can 
assist me it is you. 

Not to lose time, or to occupy you unnecessarily, I will 
make my statement as brief as possible. 

I was born in affluent circumstances, well brought up, 
and well educated, and at twenty-one years of age found 
myself the uncontrolled master of quite a respectable in- 
come, and in the enjoyment of a large circle of friends 
and acquaintances. I had never been much addicted to 
the usual vice of young people, Masturbation, though con- 
stantly in the midst of it, neither had I ever been intem- 
perate, and at twenty-one I was healthy, full of animal 
spirits, and capable of the most perfect physical enjoy- 
ment. About my eighteenth year my Sexual desires be« 
caiae very strong, but my position, and prudential consul 



MISCELLANEOUS CASKS. 423 

i- itions, prevented me from running into excesses Be- 
at les this I looked forward to my majority as a time when 
f could indulge as I should wish, without any control, and 
thus repay myself for past restraint. 

Had it not been for my Guardian I should have married 
as soon as I was of age, and had I done so it would have 
saved me incredible suffering, and a broken down consti- 
tution. He however dissuaded me from it from pecuniary 
motives, and ignorantly sacrificed my health and happi- 
ness to filthy lucre. 

I formed several attachments of an illicit character, 
and being led away by my powerful Sexual propensities, 
T indulged to excess. How much I need not perhaps 
specify, but suffice it to say that till my twenty-fifth year 
it was almost my sole occupation, and till that period I 
felt no diminuation of power, but soon afterwards my 
appetite for these indulgences began to lessen, and by de- 
grees my powers also. I had neither desire nor capability 
so often as before, and frequently for a considerable period 
would be totally indifferent. This falling off in my Sex- 
ual powers was also followed by a lassitude and debility, 
both bodily and mental, which unfitted me for any active 
exertion whatever I became dull, listless, peevish or mo- 
rose, my appetite failed me, and all the symptoms of con- 
firmed dyspepsia set in My condition in fact became so 
bad that T consulted a Physician, but only about my gen- 
eral health, for I dared not then speak on other matters. 
He grave me directions as to my diet, and directed some 
Tonics, with cold bathing. These did me some good, 
for a time, but I rapidly fell off again, and became worse 
than before, especially Sexually. In fact I was nearly Im- 
potent, and in my despair I resorted to many of the Cor- 
dials and Antidotes which I saw advertised, in the hopes 
that they would restore me. Some of them did stimulate 
me for a time, and I began to hope I was going to recover, 
bul alas it was soon over, and 1 felt that I was worse than 
bef >re, and tnat my general health had also been much 
inpred by these remedies. I then gave up all hope nearly, 
ar i came to the melancholy conclusion that I must draq 
ov\ a short lived miserable existence «n the oest way J 



424 MISCELLANEOUS CASES. 

could. This Las continued till now, my twenty-ninth year, 
when a gleam of hope has been awakened by perusing 
your book. 

Now Doctor I want you to deal candidly and honestly 
with me, and tell me plainly if a person in my situation 
has any prospect of recovery ? I don't wish to be deceiv 
ed, and would rather know the worst at once. 

I will tell you plainly I am as nearly Impotent as man 
can be, not being capable of Sexual communion more 
tLrm once in two or three months, and that in the most 
imperfect manner, with no enjoyment, and scarcely with 
any Seminal flow at all. My Organs are wasted, and my 
desires for the other sex are almost extinct — in fact I am 
becoming, a woman hater ! Of my state of mind I can 
scarcely trust myself to speak. Doctor, I am perhaps the 
most utterly wretched being that lives ! I sit and mopn 
for hours together, with the most gloomy images crowding 
upon me, and black despair hovering over all. Fearful 
apprehensions constantly haunt me of some impending 
evil, and I distrust every one who comes ♦ near me. This 
I know is wrong ; but I cannot help it ! A dark cloud 
seems constantly weighing upon me, and casting a gloom 
on all my thoughts. Reason I cannot, for my judgment 
and memory are nearly gone, and my mind is not under 
my control. 

Of my bodily sufferings I will not now speak, though 
they are severe enough I can assure you. Suffice it to 
say here that my system is thoroughly debilitated and run 
clown, and that scarcely a single function is perfectly per 
formed. 

Doctor, I am a mere wreck, and 1 fear too much broken 
and shattered to be ever repaired. Perhaps I am only 
showing my imbecility by indulging even a hope, but I 
could not resist the impulse to address you. Had I read 
you book, Doctor, when I was twenty-one, oh what might 
I not have been. It maddens me to think how terribly I 
have paid for my ignorance. But I must now stop. I 
have written this, Doctor, under the influence of stimu- 
lants, I confess it to my further shame, but I could not 
have made the effort without. The effect of the stimulant 



MISCELLANEOUS CASES. 425 

rs how way, and oh the sinking which I feel com 

in? on is horrible to think of. — but it is done,, 1 have writ 
ten to you. Doctor, and earnestly pray you will speedily 
reply. Tell me if it be possible for me to be helped, I will 
uot dare to say recovered, and if you will take me under 
vour care. The expectation of your answer will some- 
what buoy me up till I hear from you, — but what that 
answer may do I dare not even imagine. Write soon, 
Doctor, and let me know my doom. 

Yours, despairiDgly, 



On receipt of this Letter I at once wrote for him to 
come to see me, as I considered a personal interview desir- 
able. On his arrival I certainly found as unpromising a 
case as could be well imagined, but still I did not despair, 
and without making any definite promise I agreed to ad- 
rise him. 

In conjunction with appropriate general treatment. J 
1 commenced giving him the Aphrodisiac Remedy, and 
carefully watched the result. 

In a short time it became evident that he was recover- 
ing, and I gave him leave to return home, having first 
arranged to correspond with him regularly, and supply 
aim with the Medicine. 

In six months he was so much restored that no furthei 
treatment seemed called for. and I requested him to send 
me a full account of his condition at that time, to put 
on record, as a contrast to his first statement. The fol- 
lowing is what I received : 

To Dr. Hollitk, New York. 

u Mr dear Sir, 
" According to your request I send you a report of my 
present situation, as I feel I ought to do. if it will be 
father useful or interesting, for there is nothing, it seems 
to me, which I can do for you but what gratitude calls on 
me to do. I merely request that if you make use of my 



426 MISCELLANEOUS CASES. 

Letter it will be in such a way that no ose who kaowi 
me can recognize them. 

I am now my dear sir, I verily believe, the happiest man 
hving ! I am quite well in health, in every way, my mind 
is clear, my spirits buoyant, and my strength greater than 
I have ever known it before ! In fact I am quite gay, 
and instead of moping at home, as I used to do, afraid to 
see any one, and thinking life a burden, I am constantly 
on foot, whistling, or singing, as I used to do when a boy 
My friends wonder what has happened, and can scarcely 
think it is really me. I dare not tell them the cause of 
my happy change however, because it would expose the 
secret of my former misery, and that I could not bear. 

The greatest change however is in my Sexual Organs, 
whose functions I had thought lost. I am now nearly as 
powerful as ever I was, and am evidently gaining still, 
every day. In fact I intend, if you think it proper, to 
marry, which at one time I never dared to look forward 
to ! It is now the dream of my life, and if you give me 
leave it seems to me there is little else I can ask for. 
Please be plain on this point, and tell m€ candidly if ] 
may, and how soon ? 

That Medicine of yours seems almost magical, and I 
wonder you do not make it generally known. The good 
effects of it were manifested on me the third dose, and so 
convinced did I feel of its good effect that I would have 
given all I was worth in tlie world for sufficient of it, if 
that had been necessary J You must, if you can, let me 
have some jto keep by me. The cost is no object. I have 
not taken any for the last two weeks, because I felt pow 
erful enough. 

How evident it now is to me, as you explained, that ali 
my other troubles arose from decay and derangement of 
my Sexual Organs. Immediately they began to improve • 
and gain strength, I became better in every way, just in 
the same proportion. How silly the practice now seema 
of giving tonics and stimulants for the Stomach, or Liver, 
to try and cure them, while the sole cause of all their dis- 
eases is left untouched. 

In conclusion my dear sir, I am a perfectly well man, 



MISCELLANEOUS CASES. 421 

and 1 firmly believe that your advice and medicine would 
make any one so. 

May you enjoy as much happiness as I do. I cannot 
wish you better, — and may I be able to show myself as 
grateful to you as I ought and wish to be. 
" Yours, ever truly, 



Being satisfied that he might marry with propriety, 1 
gave him leave to do so, and he is now the happy Father 
of two healthy children, and younger by Ten Years than 
when I first saw him ! 

This case I have been more particular in describing, in 
detail, because it is a good example of a large class that 
come under my care, nearly all of whom are equally bene- 
fitted by the same means. 



KESUS CITATION OF THE SEXUAL POWER 

IN AN OLD MAN. 

This individual was aged sixty-six when he called on' 
me. and had been for some three or four years almost en- 
tirely Impotent. In fact he had begun to think that his 
powers were really gone, from age, and he scarcely ever 
thought of their being in any degree restored. His health 
was very good, and his years had evidently affected him 
but little in other ways, which made him sometimes won- 
der why he should fall off in this respect alone, and dis- 
posed him to ask my opinion. 

I told him without any hesitation that proper treatment 
would act favorably upon him, but I could not judge to 
what extent. He accordingly commenced following my 
advice, and in three months afterwards sent me the fot 
lowing Letter. 



|£8 MISCELLANEOUS CASES. 

To Dr. Hollick, 

New York City, N Y> 
11 My dear Sir, 

u I wish you to send me a fresh supply of the Aphro. 
disiac Remedy. I still have some, but wish to be sure of 
not getting short. 

In regard to the effect of your treatment, it has worked 
a real miracle ! I am almost as young, in one way at 
least, as I was at Forty, and I assure you that were I not 
prudent I might easily be led into some folly. What sur 
prises me most however is my not suffering in any way 
from my indulgences. I was somewhat afraid, when my 
powers were first revived, of using them, for fear it might 
do me an injury, but incredible as it may appear I feel no 
ill effects whatever afterwards. In fact I feel less lassi- 
tude after Sexual indulgence than I used to do, and it 
seems as if my organs were really stronger. 

To say how much my happiness has been increased, and 
bow much I feel indebted to you, is unnecessary. 

" Yours, truly, 



This old man I knew when he was past seventy-two^ 
and there was then no indication of decay in his powers. 
He merely required to take a little of the remedy occa- 
sionally, and decay seemed totally arrested. 1 have known 
some instances of even older persons being much benefit 
ted in a similar manner. 



BARRENNESS IN A FEMALS 

OP THIRTY-SIX CURED. 

In many instances Barrenness is caused simply by a 
torpid condition of the Genital Organs, which prevent* 



MISCELLANEOUS CASES. 429 

the absorption of the Seminal fluid, as explained in my 
* Mari-iage Guide" The Lady referred to was an in- 
stance of this kind, and the result shows the power of the 
Aphrodisiac Remedy alone, in such cases. Her husband 
had obtained some of the remedy from me without saying 
definitely for what purpose he wished it ; the Letter will 
tell why. 



Dr. Holltck. New York 

" Dear Sir, 

" You will recollect probably that I requested you, as 
a personal favor, to let me have some of your Aphrodi- 
siac Remedy. I will now tell you what I wished it for, 
and what has resulted from its use. 

I had been married nearly Twelve years, and with no 
prospects of being blessed as a Father, when I read your 
book, " The Marriage Guide." The perusal of that work 
led me to think that our childless condition was owing to 
my Lady's extreme indifference, she having always been 
perfectly cold in her temperament, and I thought possibly 
your remedy might change this, and cause her to conceive. 
I according procured some from you and she agreed to 
take it. 

The effect has been as surprising as satisfactory. I 
need only say that she is entirely changed in her tempera- 
ment, and is now, our Doctor tells us, five months Preg- 
nant, for the first time ! 

If any one had told me before this that any remedy 
could effect such a change I should have laughed at them, 
but such is the fact, and I inform you of it because I know 
it will both interest and please you, and because I think 
you are justly entitled to know what your remedy has 
done. 1 advise all my cMldless friends to read your " Mar* 
riagt Guiac" 

« Yours truly, 



#30 MISCELLANEOUS CASKS. 



GKEAT LOSS OF SEXUAL POWEB, 

AND SEVERE NERVOUS DERANGEMENT, IN A MERCHAHT t 
CURED. 

This Gentleman, like a great many more of his class, 
aad completely exhausted his nervous power by intense 
application to business. He had made his fortune and 
lost his health. The following is a part of the incoherent 
Letter he first addressed me. 



To Dr. Hollick, New York. 

" My dear Sir. 

" Will you be so kind as to tell me at once, if you can 
io me any good ? I am a Merchant, age forty-one. Good 
constitution naturally, fully grown, and formerly of excel- 
lent health. 

About seven years ago I began my present business, 
which reqisred me to exert all my energies, and to apply 
myself unremittingly. For the first two or three years I 
held out well, but gradually my energy began to fail, my 
digestion, became disordered, and I felt miserably weak, 
low spirited, and dejected. In fact I became a perfect 
nypo, and had I not been blessed with a good and trust- 
worthy agent my business must have utterly failed, tew I 
could not, during half my time, pay proper attention to 
it. 

I found it utterly impossible to apply myself regularly; 
or to stick to anything, — my mind wandered away iz 
Bpite of me, and the smallest forcing of attention to any 
thing' threw me into utter confusion. 

For the last two years this has been much worse, and 
now I have many bodily ailings too. I cannot sleep well, 
tud wake in the morning with difficulty, and feeling as if 



MISCELLANEOUS CASES 431 

I Lad been intoxicated the ni^ht before, which I never 
am. 

Besides al\ this I find myself Sexually Impotent My 
powers have l>een getting less for the past three yeare, and 
are now almost extinct. In fact I have a repugance to 
the association, and am utterly incapable either of giving 
or of receiving enjoyment. 

Doctor, I cannot say more, — this has required great 
effort, and 1 feel weary. Your experience will probably 
show you exactly how I am, in all that is not here told. 
Try what you can do for a wretched debilitated man, to 
whom money is no more than the dirt under his feet if he 
can but get well. Tell me at once if you can help me 

" Yours, &c. 



I made no hesitation in promising this Gentleman that 
he could be helped, providing he could fully relax from 
his business. This he did effectually, by selling out, and 
investing his money. 

He commenced at once using the Aphrodisiac Eemedy, 
and observing proper rules of regimen and diet which 1 
gave him. In two months he was a new man, and by the 
fourth mouth he wrote me a Letter from the country, of 
which the following is an abstract. 



* * * " Doctor, I don't need you any longer now, 
nor do I think I ever shall . again, if you will only let ma 
always have some of that Medicine by me. Don't think 
this ungenerous. I mean it to be complimentary. From 
the very first dose I felt it would cure me. It seemed to 
satisfy as it were, my nervous system, like food does < 
fiungry stomach. All my anxiety and apprehension left 
me, I felt calm, cheerful, able to apply myself, and dis- 
posed to be active. My mind cleared up as if the sur 
had suddenly broke in upon it, and I began to digest s< 
heartily that I gained flesh rapidly. 

My Sexual powers also are fully restored ! I. need sa* 
no more on thir point, except to assure you that you 



432 MISCELLANEOUS CASES. 

caution as to being te?nperate shall be faithfully observed, 
though I am free to confess it requires an effort now l 

How many of my brother business iBen lose their health 
and powers in the way I did, — but how few of thekj 
are so fortunate as I have been in restoration. Doc- 
tor, you must try to announce that remedy publicly. 
Why, my dear sir, it would save many a man from ruin, 
and not a few from insanity and suicide, to say nothing 
of mere suffering and imbecility. So far I have said noth- 
ing about it, as you requested, though I have often been 
sorely tempted to do so when seeing an old friend suffer- 
ing, and hearing him demand — ' what makes you look so 
well ? ? 

Please accept the enclosed in addition to your account 
I can never repay you, for I verily believe had I not met 
with you T should not now have been alive." 



Note. — I do not wish it to be supposed that a similar 
result would follow in all apparently similar cases, by 
simply following the same course. In many instances 
there are other matters to be attended to, and other de- 
-angettents to be corrected, before the remedy can act. 
This was a case of simple Seminal and Nervous exhau* 
ion, uncomplicated 



DR. HOLLICK'S 

APHRODISIAC REMEDY, 

THE ONLY SURE AND RELIABLE AGENT 

FOR THE 

PERMANENT CURE OF 
IMPOTENCE, STERILITY, 

AND 

NERVOUS AND SEXUAL DKttlLITY, 

IN EVERY FORM ; 

BEING THE CELEBRATED REMEDY USED FOR SO MAN! 
YEARS IN 

DR, HQLLICK'S EXTENSIVE PRACTICE, 

DEVOTED EXCLUSIVELY TO SUCH CASES, AND 
NOW. FOR THE FIRST TIME, OFFERED 

TO THE 

PUBLIC. 



GENERAL DESCRIPTION OF APHRODISIACS, 

AND HISTORY OF 
DR. HOLLICK'S APHRODISIAC REMEDIES 



Medical Remedies are classified and named accord- 
ing to the mode in which they act. Some affect one 
part of the system, and others affect other parts. 
Those which aot upon the sexual organs, so as to pre- 
serve or restore their powers, are called Aphrodisiacs. 
Remedies of this kind have always been eagerly 
sought, and paid for at any price : even gold itself 
has not been mare eagerly prized, and at this hour 
will be given in profusion for a good Aphrodisiac, 
though begrudged for anything else — for nothing does- 
a man more crave than sexual power, and nothing 
does he more fear or regret to lose. 

Numerous remedies, called Aphrodisiacs, have been 
in use in different parts of the world, for ages past, 
with more or less repute ; but their employment never 
resulted in much good and often in much positive 
injury. It is the same at the present; day — the greater 
part of such remedies now in use have no effect at all, 
and those which do act had better be left alone. This 
arises from the fact that they are administered only 
empirically, and withuut any knowledge of their true 
powers or of their variable effects under different cir- 
cumstances. 

When [ first began to use the common, remedies of 
this kind. I found that they were, for the most part, 
only traditional compounds, often dating back to the 
dark ages, and given merely because the physician did 
not know what else to give. Some of them, it is true, 
acted as powerful stimulants, giving temporary power 



APHRODISIAC REMEDIES. 

at the cost of future debility, but the greater part were 
either utterly inoperative or else acted only on other 
parts of the system : in short, they were not Aphro- 
disiacs ! 

I, therefore, set to' work to investigate the whole 
subject of man's sexual nature, and the action of all 
Aphrodisiac Remedies upon it, for myself. For years I 
experimented with them, in thousands of cases, both 
simply and variously combined, carefully noting their 
effects, and thus by degrees finding out the true value 
of each, and how and when to use i.t. No one else, I 
really believe, ever went into this subject so thorough* 
ly, or with such extensive opportunities for experiment 
and investigation. My lectures and my books made 
me so universally known in connection with this sub- 
ject, that cases of every kind came to me in abund- 
ance, from all parts, and 1 was thus enabled to study 
practically what had been before only speculated 
upon. 

The result was, after endless trials, the formation 
of a compound possessing true Aphrodisiac powers ! 
which, when judiciously employed, invariably increases 
and maintains sexual power, or restores it when lost. 
This remedy, from its constant success in all cases of 
impotence, sterility and natural deficiency, became 
very celebrated, and my practice — which comprised 
only such cases — rapidly extended. Every day the 
demand for my Aphrodisiac increased, and 1 soon 
found a difficulty in procuring enough for my profes- 
sional use, on account of the limited supply and great 
cost of many of the ingredients. 

Many of the most powerful and reliable Aphro 
disiacs are among the rarest of Nature's products, and 
are obtained only from the least known and most inae- 
aessible parts of the world : Musk, for instance, which 
is a powerful Aphrodisiac, and of which I use a large 
quantity, is always worth its weight in gold, and often 
much more. There are, however, other substances 
still more valuable, for which I have often given hun« 
dreds of dollars for a few grains. Some of these art 



APHROPISIAC REMEDIES. 4S6 

natural ' and some artificial products, obtained by 
chemical means, and which can be produced only at 
immense cost. The great power of most of these 
articles fortunately makes a small portion go a long 
way in use, or they could scarcely be employed at all. 
In my Remedy, there are altogether thirty-three differ* 
ent ingredients, and of some of them not more than 
the hundredth part of a grain can be used at a dose. 
Each of these ingredients has some peculiar power of 
its own. or is necessary to the full development of the 
power of some other ingredient, so that the whole act 
together in producing that wonderful effect for which 
this Remedy is so celebrated. 

At the same time, however, that it acts so energeti- 
cally as an Aphrodisiac, it has no effect in any other 
way, and is perfectly harmless to all parts of the sys- 
tem. 

It will be readily seen that such a remedy must ne- 
cessarily be costly, and can never come into common 
use : it must, in fact, ever remain a special luxury for 
those who have been favored with Fortune's golden 
gifts, or for those who are willing to make great sacri- 
fices. As a natural consequence, my constantly in- 
creasing demand for these rare articles made them 
still more scarce and dear, till, finally, 1 began to fear 
that my supply would run short : I, therefore, sent 
agents to all those parts from which they are obtained, 
with instructions to regularly buy up and pre-engage 
all that could be procured. This, of course, took a 
long time to accomplish and entailed an enormous 
expense, but it was the only sure course, and was 
crowned with success. A supply has thus been en- 
sured, which enables me not only to provide all my 
patients with sufficient, but also leaves a surplus, so 
that I can now prepare the Remedy for public sale, 
as I have constantly been importuned to do.. but for 
the reasons given was unable to do previously 

In this way originated the Aphrodisiac Remedy, the 
most remarkable medicine perhaps ever compounded, 
and the most wonderful in its effects No advertising, 



*36 APHRODISIAC REMEDIES. 

or other means for disposing of it, are necessary, foi 

Its value is so well known that the difficulty will 
rather be in supplying all who want it. Numbers of 
my patients always keep as much by them as I can 
spare to one person, for fear of running short, and 
many of them would give thousands of dollars rather 
than run any risk of ever being without it. 

As regards the obtaining of this Remedy, or any 
similar one, I may as well remark here that no one 
else but myself can possibly supply it ! Not only be- 
cause t^e proportions of the various articles comprising 
it. and the manner of combining them, is a secret only 
known to myself but because the whole quantity pro 
duced, of many of the most valuable articles, is in m\ 
hands, or secured to me alone, by always paying large 
sums in advance, so that no one else can obtain a 
grain. This 1 was compelled to do in order to secure 
a sufficient supply, and to make sure that my patients 
would not be disappointed. Many of the artificial 
products are not made for public sale. and. to obtain 
them. I am obliged to purchase all that certain skillful 
chemists can produce, and at a rate. too. which offers 
inducement enough to them to keep up the manufac- 
ture for me alone : besides this, some of the articles 
are made by myself, by a process which I have never 
disclosed. 

It is, therefore, impossible for any one else to supply 
a true Aphrodisiac Remedy, containing the rarest and 
most effective agents, because no one else can obtain 
them. All other Aphrodisiacs can be formed only of 
the more common and inefficient remedies, such as are 
to be found in most apothecaries' shops, but they in 
no respect resemble mine. 

The subtle and apparently mysterious way in which 
this Remedy operates, surprises most people, and it is 
therefore necessary to give an explanation of its 
physiological action. Medical agents act in different 
ways, some as stimulants to particular parts of the 
body, some as alteratives, and others again as special 
excitants of particular organs : thua some act on the 



APHRODISIAC REMEDIES. 487 

bowels, some on the kidneys, some on the heart, ami 
others on the skin. A few act on the nervous system, 
through the brain, like alouhol and opium. Usually, 
they excite in the first place, and afterwards act as 
sedatives, or stupify. The Indian Hemp, or Haschisch* 
is of this class., and usually forms one of the main ingre 
dients in all common Ex/iilarants and Aphrodisiacs, It 
is a dangerous drug when so used, and utterly valueless 
for any such purpose, but when properly combined 
with the other articles which I have described, it be- 
comes a valuable auxiliary. 

Woe to those w T ho use it and opium for the purpose 
of intoxication ! Alcohol is harmless compared with 
them ! 

The true Aphrodisiac, as I compound it, acts upon 
the brain and nervous system, not as a stimulant, but 
as a Tonic and Nutritive agent, thus sustaining its 
power and the power of the sexual organs also, which 
is entirely dependent upon Nervous Power. 

A man's sexual vigor represents merely kis excess of 
nervous vigor. All the functions, both of body and 
mind, are carried on only by nervous power, which 
enables each organ to perform its peculiar function. 
The heart, stomach, lungs and every other organ, 
act only from the stimulus "which the nerves bring to 
them from the brain and spinal marrow. Cut these 
nerves through and stop the supply, and they act no 
longer. 

Now, every man only possesses a certain amount of 
nervous power, which varies in quantity according to 
the health and natural vigor of his system : if, there- 
fore, too much of this power is employed in one of the 
functions, the others must run short, and, of course, 
be imperfectly performed. Thus, if a man thinks too 
much, his brain uses up so much of his nervous power 
that he has not enough for other purposes, and some 
organs must act imperfectly. Most likely his stomach 
will be one of these, and then he becomes Dyspeptic ; 
qt he may have Heart Disease, or Liver Compiaint, o* 
any of those numerous diseases which we commonly 



438 APHRODISIAC REMEDIES. 

§ee— all of which spring originally from impaired 
nervous action. 

An imperfectly acting stomach again re-acts on the 
whole system, because it prevents proper nutrition, and 
thus causes general weakness or debility. No act, 
however, exhausts more of nervous power than the 
sexual act I and this is why its too frequent perform- 
ance is so terribly injurious, and why the votaries of 
Venus so frequently become debilitated, weak-minded 
and. impotent. 

(Note. — Those who wish to see this subject fully 
explained, should read my books, "The Marriagt 
Guide," and "The Male Organs," in which the whole 
subject is fully gone into.) 

Whenever the system generally, or any particular 
part, becomes debilitated, and performs its peculiar 
function imperfectly, we use some medicine to stimulate 
it or improve its action. Thus we employ various 
bitter tonics to help the stomach, in Dyspepsia, and 
use Aphrodisiacs in Sexual Impotence. The way in 
which they really act has only lately been found out, 
and I will, therefore, now explain it. 



©0NNECTI6N BETWEEN THE NIXVOUS AND SEXUAL SYS- 
TEMS, WITH AN EXPLANATION OF THE MEANS WF 
POSSESS FOR THEIR NUTRITION AND RENOVATION. 

It has long been known, as a general truth, but very 
Vaguely, that there is an intimate connection between 
the Nervous and Sexual systems, but it has hitherto 
been thought to be merely sympathetic. Physiologist? 
have, however, recently discovered that the composi 
tion and mode of production, of the Nervous substance 
and the Seminal fluid are almost identical th**, in 



APHRODISIAC REMEDIES. 43* 

fact, they are essentially the same thing. It has also 
been ascertained that, in all cases of severe Nervous or 
Mental derangement, the actual substance of the Brain 
and Nerves either wastes away or undergoes a destruc- 
tive change. And in the same way, in all cases of con- 
firmed loss of Sexual power, the seminal substance 
either wastes, or becomes destructively clianged, in a 
similar manner. Bat. what is still more important, 
the destruction or injury of either one of these ele- 
ments of our systems brings on inevitably a similar 
evil to the other. Every man, therefore, who bo- 
comes Impotent, is in imminent danger of becoming 
Insane, or at least of weak Intellect, and every one 
whose nervous substance is seriously impaired will 
almost certainly lose his sexu; I powers. The two are 
intimately dependant, the one on the other, and are 
affected, for good or for evil, by the same external and 
internal causes. 

At the present time, a number of causes are in con- 
stant operation, on most men, exceedingly destructive 
both to their Nervous and their Sexual powers, causing 
an actual waste of Brain and Seminal substance, and 
entailing bodily suffering and mental deficiency to an 
unknown extent. 

This has. of course, originated plenty of remedies, as 
they are called, which are put forth as infallible, by 
those who know nothing of the nature of these evils, 
and who care nothing for the effect which follows after 
the remedy is sold. 

In all such cases, it is requisite, in the first instanee, 
to arrest further change, or waste, and then effect a 
Restoration, if that be possible. To effect this Renova- 
,tion. we must, of course, use such means as will really 
create new Brain, or Seminal Substance. The same as 
we create new Muscle in cases of muscular weakness. 
That this can be done is undoubted, for each portion 
of the organization draws the elements of its nutrition 
from peculiar sources, and when we know what those 
elements are. and whence they can be obtained, we 
rt&n supply them. It is not possible to nourish and 



440 APHRODISIAC REMEDIES. 

renovate the Nervous and Sexual systems by the \ 
elements alone that nourish and renovate the muscu- 
lar system, though these are necessary as adjuncts; 
there is needed in addition certain rare elements that 
are found only in the Nervous and Seminal substances, 
and which can be supplied only by the Aphrodisiat 
Remedy. 

This preparation is not a Stimulant or Excitant, noi 
a mere Tonic, but a real Renovator, supplying precisely 
that kind of material and influence, that is needed tc 
produce New Brain and new Seminal fluid! 1 hav« 
myself often been amazed at its effects, and seldom 
despair of any case in which it can be used ; in fact, 
it is almost infallible, except where there is some 
Organic Defect, or some primary lesion which requires 
correcting first. In proof of this, I need only refer to 
the " Cases." 

It is, of course, equally useful in all kinds of Nervous 
debility and derangement, because they depend .^ipon 
precisely the same causes as the sexual ones which 
have been described, namely, want of proper nutrition 
of the Brain and Nervous Substance. 

Especially will it be found effective in that terrible, 
and too frequent disease Softening of the Brain ) hith- 
erto deemed incurable! 

The reader will now understated the Nature of this 
Remedy, and will see the footing on which 1 place 
it. It is not advertised in the manner of the Quack 
Cordials and Invigorators of the day, nor will it to 
so, but can always be obtained by those who require 
it. 

In short, it will be found, I venture to assert, aa 
nearly infallible, and self-sufficient, as any medical 
remedy, in the nature of things, can be ! If it fails, 
the patient should at once seek Dr. H.*s advice, for he 
may rest fully assured there is some Organic or func- 
tional derangement which imperatively and urgently 
requires Surgical or Mechanical aid. 

For convenience, I have it so put up, in a dry form, 
air and water tight, that it can be kept uninjured, foi 



APHRODISIAC REMEDIES. 441 

any length of time, in any climate, and under any oir 
Cumstauoes It can also be taken without the incon- 
venience of measuring, using Liquids, or any other 
troublesome requirement, thus ensuring secrecy and 
facility of use, let a man be situated however he may. 
A gentleman can keep it in his vest pocket without 
any fcar of detection from smell or appearance. It 
will go anywhere by Post, with perfect safety, and in 
•uch a form that no one through whose hands it 
passes would ever suspect its nature, or that it was 
anything peculiar ! 

The price for a package is Five Dollars! and if 
ordered by Post it will be sent free, to any part, with 
full directions. There are no Agents for it anywhere, 
at present, nor will there be except they are specially 
mentioned in my Books, so that it can only be obtained" 
by addressing through the Post to "Dr. F/Hollick, Box 
3606, New York City." I do this to avoid trouble, and 
also to prevent Counterfeiting, which would be sure to 
be practiced if it were generally sold through Agents. 
One package is usually sufficient in all ordinary case3 
of simple debility, from excesses or imprudence ; but, in 
severe cases, it will, of course, require to be used longer, 
according to the severity of the derangement. Old per- 
' sons, and those who are much broken down, should use 
it r gularly, at intervals: but, in every case, one single 
package will prove its power. 

It is scarcely necessary for me to repeat that there 
is nothing whatever in this preparation that can be 
in any way hurtful, under any circumstances. It is 
applicable to eases of Female Sterility and torpor, as 
well as derangements of the male System or Nerves, 
as will be seen by some of the " Cases" in my Books 



#42 APHRODISIAC REMEDIES. 

Persons sending for Dr. Hollick's AphrodiSUO 
Remedy, should be careful to send the address plaifd§ 
and in full! naming the Post Office, County and 
State, and be sure to address — 



For the Five Dollars, it will be sent free anywnere I 



EXTRACTS FROM LETTERS FROM MY AGENTS IN VARI- 
OUS PLACES. 

Aden, Arabia, at the mouth of the Red Sea, ) 
October 3, 1861. J 

To Dr. Hollick, New York, U. S. A. :— Box, 3606. 

Dear Sir — [n accordance with your directions. I 
proceeded from Egypt to this place, and have now 
been here three weeks. I find, as you supposed, that 
this is the best place at w r hich to secure many of the. 
articles you have commissioned me to purchase : but 
it is much more difficult and expensive to obtain 
some of them than 1 had supposed. 

The , though brought to this place, really 

comes from the interior of Africa, and reaches here by 
way of Abyssinia. The Somali, a most wild and blood- 
thirsty tribe, possess the country where it is pro- 
duced, and they will take the trouble to procure it 
only in exchange for arms and certain kinds of cloths. 
1 shall therefore be compelled to keep here a stock 
of these articles constantly on hand, sufficient to ex- 
change for all they may bring. 1 do not suppose there 
will be more than you will need, but if there is. it 
must still be bought, both to secure the monoply, and 
to give them encouragement not to neglect gathering 
it 



APHRODISIAC REMEDIES. 448 

The comes to this place from the interior of 

Arabia — where, I have not yet learnt. The caravans 
that bring it arrive only twice in the year. 1 have 
Been the only merchants who deal with it. and have 
arranged with them for the purchase of the whole 
supply in future, so that no one else can procure any. 
The or her articles I shall also ensure in the same way, 
and stay here till I have done so. 

Respectfully yours, 

Arnold Hufer. 



Assam, in the interior of Hindostan, ) 
March 3, 1861. J 

To Dr. Hollick, New York, U. S. A. : 

Dear Sir — I have now been at this point five weeks, 
snd have been very successful in the objects for which 
I came. 

In regard to Musk, I find that it can be obtained 
pu.^er and in larger quantities, at the southern borders 
of Mindostan, than anywhere else. It is not produced 
here, but on the' other side of the mountains, in 
Thibet, South-east China, and some parts of Tartary; 
there is, however, an active trade carried on across 
the mountains to those regions, from these parts, and 
th.^ is the way it corner. Tt is far purer than what 
comes from China, but is much dearer, owing to the 
long and dangerous journey which the traders have to 
take, f am told it occupies seven months to go and 
return, and through a most lawless, inhospitable 
region. I have already arranged with the prin- 
cipal merchants to whom it is always consigned, to 
take all that comes, at each trip, so that it is useless 
for any one else to come here after Musk. It is ne- 
eessary, however, to make large advances and run 
considerable risk of loss, but that is unavoidable. 

The , I find, comes only from Northern B«r- 

and is never openly sold. The despotic rulert 



444 APHRODISIAC REMEDIES. 

of the districts from which it comes, prize it so highly. 
that they utterly forbid its exportation, under penalty 
of Death ! Like everything else here, however, it can 
be obtained if you go the right way to work, and give 
plenty of money in the right quarter. It will cost 
some lakhs of rupees to obtain the quantity you name, 
besides heavy fees to the officials, but you may depend 
upon it. and may also rest assured that, no one eke, 
will kave any out of this country. Merchandise can- 
not be brought here, so that all has to be paid for fa 
silver, and you must, therefore, be careful always to 
keep a sufficient supply at your agents in Calcutta. 

This region is quite healthy, and I shall stay here 
till the necessary arrangements are made perma* 
nently Yours, etc., 

Jamjcj Hoxton. 



Cuzco, in tlie Andes. South America, ) 
May 15, 1862. ( 

To Dr. Hollick, New York City. U. S. A. ; 

Dear Sir — Now I am here, I find no difficulty in 
procuring all the articles you need. They can be ob- 
tained only from the Indians who gather them, and 
who never take them to the cities. My own experi- 
ence has shown me the astonishing virtue of the Coco- 
leaves most conclusively, and I now know that the 
statements of Tschudi, Stevens and others, are not at 
all exaggerated. 

An Indian, at least 50 years old, carried me on hie 
back up the mountains, in a kind of chair, at the rate 
of twenty miles a day, without a particle of food for a 
whole day at a time, and yet showed no signs of ex- 
haustion. At starting, he placed his ball of Coco- 
leaves in his mouth, with a little lime, as a taster, and 
this sustained him thoroughly ; in fact, he seemed ai 
fresh at the end of the journey as when he began. I» 
the same time, 1 required three good meals, and ye 4 



APHRODISIAC REMEDIES. 44* 

wu tired enough, though walking with another man's 
legs. They both chow it and make tea of it, and I am 
beginning to use it regularly myself. It is certainly 
harmless, a? all experience proves, and its power of 
preventing bodily and mental fatigue is amazing J 
have been busily occupied for a whole day. and yet at 
night, by using the Co^o — could sit up all night, if 
necessary, writing, with scarcely a symptom of fatigue 
It seems to suspend the waste ot nervous power almost 
entirely. 

You will receive a regular supply, both of ti: Toco 
and other articles, from Lima City. 

Yours, etc., 

Arthur Le Roy. 



(Translation.] 
Leipzig, Germany, October 9, 1861. 
Doctor Hollick:-P. 0. Box, 3606, N. York, U. $. 
Dear Sir — I can arrange with Mr. , the well- 
known chemist, to prepare you the articles you name ; 
but he will require to build a special apparatus for the 
purpose, and will require you to give security for all 
the expense, and also to take all the produce at the 
price agreed upon. He is the only man who will 
undertake the manufacture. 

Yours, etc., 

Herman Blum. 



These few extracts will show what an expense and 
labor it has been to procure a certain and sufficient 
supply of these rare articles, and also why it is that 
no one else can possibly provide an article like the 
Aphrodisiac Remedu! 

F. Holliok. 



446 

MICROSCOPICAL EXAMINATION OW 
TFTE TIRING. 

No. 1. Represents the appearance of tfee bemen f**^* 
perfectly healthy, as seen under the microscope. It w A « 
a portion lost in consequence of straining at stool, fro •* 
constipation, as is very often the case. 




The Seminal Animalcules, those minute living beings, al 
>vays found in that fluid, and without which it is imper 
feet, will be seen perfect in their form, and active in thei* 
motions. While this state of the vital fluid exists, a insrt 
will retain his powers, but if it continues to be lost to ad 
undue extent — and especially if it passes in the urine, a 
change occurs — the animalcules becomes less abundant 
imperfect in form, and with very feeble powers of motion 
This is shown in No. 2. 



ADDENDA. 447 

No. 2. This was a portion of feemen contained tn tha 
wine of a person who had debilitated himself by mastur- 
bation, in early life. There are a few animalcules, but they 
are imperfect and very feeble. Tins individual had but 
faint amative desires, and but little power. It is possible 
that a man so circumstanced may be capable of association, 
to a limited extent, and may even become a parent, but 
his children, if he have any, are sure to be either deformed, 
still born, or constitutionally weak ! Most usually, however, 
there is no impregnation, or if there be, miscarriage takes 
place. 

The reason for this is obvious enough, to those who know 
the part which the Animalcule performs in originating 
the new being, and it is fully explained in " The Marriage 
Guide." 

No. 3. This was also taken from the urine ot a man 
who had long suffered from Urinary Seminal loss, and who 
had become nearly impotent, with great decay of his men- 
tal powers, gloomy feelings, general debility, and all those 
distressing symptoms of constitutional decay, which invari- 
ably follow this disease if it is not checked. 

In this case the Animalcules are all dead, and the parts 
of the body detached from each other. Impregnation from 
this semen could never take place, though the person might 
still at. times, retain slight powers of association. Many 
men are circumstanced in this way — especially those long 
addicted to excesses of any kind, and also business men, 
exhausted by too much anxiety and mental labor. 

No. 4. This view was taken from a man wholly d,nd 
hopelessly impotent, and in the last stages of decay, bodily 
and mental. Of course, at this stage, there is neither 
power nor desire. The Semen is utterly destitute of ani- 
malcules, and almost substance. It passes almost constantly 
in the urine, and is merely like gum water. During the 
tecond and third stages, a man may recover, with piopo* 
assistance, but in the last stage there is no hope. There 
are many married people without children, owing to these 
imperfections in the male, though it is generally thought 
Ihat it must be from the female. Some men are even nam* 
tliy imperfect n this way, and never can be parents, tho'igfe, 



443 ADDENDA. 

apparentk/ y like other men. The true reason for we&fclj 
and deformed children, and also for frequent miscarriage, 
is also often in the male, though not suspected. 

Dr. H, is*daily making microscopical examinatioris of thk 
kind, both for those who call upon him, and for others. 

Persons at a distance, who cannot possibly pay a per- 
sonal visit to Dr. H. need not give up all hopes o f receiv- 
ing proper treatment iu any of the above affections. Dr. 
H. can suggest a means by which the necessary examin- 
ations can be made perfectly, without their coming, so that' 
he can advise by regular correspondence, as he does con- 
stantly with hundreds. All the peculiar medicines which 
he uses are so prepared as to go by post , without fear of 
injury or detection. 

In short, Dr. H. attends to all those derangements which 
are connected in any way with the parental system, in both 
sexes, and those peculiar nervous affections which arise 
from them. His practice is, therefore, different from that 
of any other medical man of the day, and he does not in- 
terfere, except incidentally, with those diseases that ordin- 
arily engage professional attention. 

The success that has attended his efforts, and the public 
confidence and patronage that has been so extensively 
awarded him for many years past, and which is daily in- 
creasing, make it utterly unnecessary for him to adopt any 
means for extending his practice ; nor is this statement 
published for any such purpose. It has merely been issued 
at the request of many former patients, to let those per- 
sons know, who are suffering from these peculiar causes, 
that there is now one upon whom they can rely, who de- 
votes special attention to such derangements, aDd thus res- 
cue them from the despairing and hopeless condition into 
which they are too apt, naturally enough, to- fall. 

It is scarcely necessary to add that the strictest confi 
dence and secresy, is observed in all communications, per- 
gonal or otherwise, and that the most careful attention a 
bestowed upon every case. Dr. H. has numerous testimo- 
aials from those who were formerly impotent, debilitated 
or childless, but who were fully restored to health, happi 
bob, and parental enjoyment. 



449 

DR, HOLLICK'S BOOKS 



THE 
OR NATURAL HISTORY OF 

GENERATION. 



PRICE.— ONE DOLLAR. 



A private instructor for Married People, and those about 
to marry, both male and female, in everything relating to 
the Anatomy and Physiology of the Generative system, in 
both sexes, and the process of Reproduction. Including 
a full description of everything that is now known respect- 
ing the prevention and production of offspring, the causa 
of the difference in sex, — Parental influence, — Natural ad- 
aptation, — Philosophy of Marriage, <fcc, &c. 

This is beyond all comparison the most extraordinary 
work on Physiology ever published. There is nothing 
whatever that married people can either require or wish 
to know but what is fully explained, and many matters 
are introduced, of the most important and interesting char- 
acter, to which no allusion even can be found in any other 
work in our language. All the new discoveries, many of 
them never before made public, are given in full, especially 
those relating to conception and sterility. 

No married person of either sex, should be without thi» 
book. It is utterly unlike any other ever published, and 
the matter it contains can be found nowhere else. It con- 
tains numerous Engravings, and colored Plates, designed 
especially for this work, and showing many of the new 
discoveries, as well as anatomical details and Pysiological 
processes, 



D*. HOLIICK'g BOOEg. 

THE 

MALE GENERATIVE ORGANS, 

IN HEALTH AND DISEASE, 
FROM IJirFnAJTCY TO OL.U *1GJE. 

PRICE.— ONE DOLLAR. 

A complete practical Treatise on the Anatomy and 
Physiology of the Male Generative System, with a full 
description of the causes, and cure of all the diseases and 
derangements to which it is liable. — Adapted for every 
Man's own private use I 

This 'is not a treatise on Venereal Diseases, nor does it 
even refer to them, but to those derangements and difficul- 
ties, of all kinds, to which every man is more or less liable, 
and from which in fact but few entirely escape. 

All the causes which lead to decay of the Generative 
system are fully explained, and the means pointed out by 
which its powers may be preserved to extreme old age /— 
ilore especially is explained that unseen, and usually tm- 
known form of decay from which thousands become dis- 
eased, insane, and die without ever suspecting what has 
destroyed them. Even medical men as yet know but lit- 
tle upon this important matter, which it is of the first 
moment every man should understand for himself. All 
the recipes are given in English, and the treatment is mad« 
•o plain that all can practise it. 

This work is also fully illustrated, both with Enqrav 
ings and with colored Plates, and an introductory chapter 
gives an epitome of all the new discoveries respecting the 
Female system and Generation. No other work at all like 
this was ever published. No Man rhould be without it, 
young or old. 



DR. HOIJJCK'S BOOKS. 



THE 



DISEASES OF WOMAN, 

TUeir Causes and Cure familiarly Explained* 

With Practical Hints for their prevention, and for the preservation ol 
Female Health, intended for every female's own private use I— -H 
lustrated with colored Plates, and with numerous Engravings. 

If all Females possessed this book in time, there would be incalca 
lably less suffering and disease amongst them than is now seen.— 
Everything relating to female health is treated upon, from infancy U 
old age, and the most valuable recipes are given, together with pr&c 
tical directions, in the plainest manner. There is no known diseas* 
to which females are subject but what is here explained, and so <h*t 
all can understand. 

DR. HOLLIGK has received piles of letters thanking him for h rii 
ing this book, and has been complimented for it by many of hh> pub 
Kc audiences of ladies. 

J&f iVb Female should be without it, especially if Married, 



THE MATRON'S 

MANUAL OP MIDWIFERY 



DISEASES OF WOMEN DURING PREGNANCT 

AND CHILD-BIRTH. 

A complete practical treatise upon the Art of Delivery, aD'l upon 
all the accidents and diseases that may occur during these peiiods. 

This work is especially intended for the instruction of /emales 
themselves, and any one of ordinary intelligence, upon reading it 
carefully through, will be able to render the requisite assistance in 
cases of emergency. — The description of all the various Positions and 
Presentations is on an entirely new plan, and is made both simple and 
intelligible. — The management of new born infants is also given in full, 
and the use of Ether and Chloroform during delivery is discussed. 

This work contains over sixty Engravings, besides colored Plates 
showing the various periods, and how to ascertain them. — The ditie* 
•at positions. — The progress of delivery, &c. 

PRICE.— ONE DOLLAR EACH. 



DR.HOLLICK'S PUBLICATIONS. 

w We have just read a new work called M The Marriage Guide? 
by Dr. F. Kollick, the well known ^Author of the Origin of Lite, and 
we are constrained to admit that it is the most extraordinary Book 
that ever came under our notice. Thoroughly scientific enough tor 
deeply read scholars, or for practical experimenters, it is yet plain and 
popular enough for the most ordinary understanding. Nowhere else 
in the English Language, can there be found such a complete and 
practically useful compendium of Physiological information, strictly 
adapted for the use of married people, or of those intending to marry. 
All the new discoveries of Pouched Bisekoff, and others, are fuliy 
given, as well as many others by the author himself, never before 
made known. The engravings are also excellent, as well as curious, 
fn fact, taking it altogether, it is beyond all question the Book upon 
Uiese maiters, and will probably become as popular in future, and as 
uni versally referred to as Aristotle has formerly been. One feature 
which peculiarly distinguishes this book from all others or the kind, 
is the peculiar toue of morality and delicacy which pervades it all 
)h rough, and which makes it both proper and useful to be read by all 
persons, of both sexes, who have attained the age of puberty. A very 
eminent clergyman, authorises us to say that he deems it a duty to in- 
troduce it privately among his flock, as the best means he knows of 
preventing and overcoming those haieful vices, unfortunately so de- 
structive to soul and body, which are at the present time so fearfully 
prevalent." — [Med. <£• Surg. Review. 



«»-*-« 

w Ths Male Generative Organs."— This book, by Dr. Hol- 
lick, the eminent popular Lecturer, and successful practitioner, 
should be in the hands of every man who values his health, and the 
preservation or restoration of his powers. It is complete in every 
particular, and is the only work in the English Language where that 
fell destroyer of thousands, urinary seminal loss^ is fully explained, 
and its cure and prevention pointed out. How many thousands 
jrearly die. or become imbecile from this cause, who have never 
heard it mentioned. — [Med. Journal. 



"his List embraces the whole of the Works, which may either 
be obtained singly or in the set. 

PRICE, ONE DOLLAR EACH, 

&&- ALL WITH COLORED PLATES. -*» 

On forwarding the money and address to "Dk. HOLLICK, 
Box 36)6," they will also be sent, by post to any place 
free. 

N.B. — The attention of P6$t.jtna$ters and Agents is respectfully 
directed to these Works. Their sale is rapid and sure, and the 
discount is most liberal. 



458 



APPENDIX 



ftotitts of §r. f tfliitk's Stetani 



D*. Hollick and Physiology. — The second of a series of Lectures, 
by ^bis gentleman, on human physiology, ( and the all important ti-uth* 
corrected with our physical constitution, was attended by a ful} 
house, in National Hall, last evening. The time was well ipent, and so 
appeared to think the audience. On the delivery of the first of thes« 
• Lectures on Tuesday evening, the speaker in a comprehensive and 
weiL-digested exordium, placed himself and the subject right with the 
public. His manner, language and style, did the first ; his sound logic, 
bis argument, his candor and research, accomplished the second. 
Apart from the interesting and apposite details of the wonders of 
reproduction, the illustrations of the immutable wisdom of nature, 
which teem in the animal and vegetable worlds — which 

" Glows in each stem, and blossoms in each tree ; 
Lives through all life, extends through all extent, 
Spreads undivided, operates unspent." 

Apart from all this, Dr. Hollick's Lecture was excellent as a defence 
of truth, a vindication of the right of free and unshackled inquiry, and 
as a convincing refutation of that silly, but far too prevalent opinion 
that there are truths of which it is better to remain in a state of igno- 
rance. Had nothing else been imparted in the forcible and well 
defined exordium of Dr. Hollick, than this judicious demolition of that 
fallacious, silly, but injurious twaddle which would forbid research 
to pass in advance of the old landmarks prescribed by custom, igno- 
rance or a spurious morality — even that would well deserve the public 
patronage. Truths, well set forth, will make an impression, whether 
their investigation be fashionable or not. There is an affinity between 
the capacity to learn, and the truths to be learned, which always 
results, when a fitting opportunity is presented, in a free inquiry, and 
the g3ntleman who is bringing, in a judicious and elevated manner, a 
knowledge of those fundamental principles of our corporeal existence 
which are abused because unknown, will accomplish more good than 
half a dozen teacher? of higher pretentions, and lower ability. It waa 
gratifying to observe the decorum — the sense of respect for both 
speaker and subject, that was observed throughout the evening, which 
evidently shows that those who go there are actuated by higher 
motives than mere curiosity ; by desires more ennobling than a 
passing gratification ; in a word, it was clear that those who com- 
posed T)r. H's hearers, were men who know and dare to think, and 
who will profit by these most useful discourses. — iVW York Htraid 
.ft*—* 7, 1844. 



At a Meeting of the Class attendant upon Dr. Rollick's Select Lea 
tares on the Physiology and Philosophy of the " Origin of Life " in 
Plants and Animals, hekL at the Lecture Room of the Museum, Wed- 
nesday evening, December 1, 1844, George G. West, Esq., was called 
to the Chair, and Samuel W. Black appointed Secretary. 

Resolved, That we have listened with unfeigned pleasure and 
interest to the Course of Lectures delivered by Dr. Hollick, and now 
brought to a close, and that we deem it an act of justice to him and 
the community, to express our entire confidence in his character, 
ability, and the manner of illustrating his subject, which, to use the 
words of a dairy journal. " is couched in such delicate as well as per- 
spicuous language, that the most fastidious could find no fault, nor the 
idlest curiosity go away unimproved." 

Resolved, That a committee of three be appointed to tender to Dr. 
H. the thanks of the Class for his courtesy to the members in affording 
them every facility for obtaining information upon the subject of hii 
Lectures, and that he be requested to repeat the Course at the earliest 
period consistent with his other engagements. 

Published in all the Philadelphia daily papers of December, 14, 1844, 
«nd signed by one hundi td and forty of the most respectable and influ- 
ential inhabitants. 

(See similar Resolutions, with over two hundred names attached, in 
the Philadelphia daily papers of March 9, 1844 ; also of March 16/ 
and on several other occasions.) 



From the Philadelphia Daily Papers, Feb. 21, 1845. 

At a meeting of the Ladies composing Dr. Hollick's Class, held ta 
Wednesday afternoon, February 19th, in the Lecture Room of tlus 
Museum, the following resolutions were unanimously adopted, and 
ordered to be published in one or more of the city papers : 

Resolved, That we have listened with great pleasure and interest tw 
Dr. Hollick's Lectures, and we are happy to add our testimony to the 
many already recorded in behalf of such Lectures : and regarding Dr. 
Hollick as a benefactor of his race, and especially of our sex, we cor- 
dially wish for him abundant success, and ample reward in the con- 
sciousness of doing good. 

Resolved, That we will exert ourselves to induce our female friends 
and acquaintances to avail themselves of the great and rare privilege 
of obtaining the valuable instruction imparted in these Lectures in s« 
ikaste and dignified a manner 

Signed on behalf of the meeting by 

Susan Wood> President. 
Sarah Webb, Secretary. 

$fgT With over 50 names attached thereto. 

(See also similar Resolutions, with numerous names, on Feb. 87. 
1846, March 20, 1840, and on April 10, 1846, with over three himind 

r attached.) 



*PPEN1>IX. 45* 

A Gold Medal to Doctob Hollick. — "ne Ladies of Dr. Hollick M 
IMS have presented him wih. a beautiii?l Gold Medal, enclosed in a 
Handsome morocco case. Th« front of tho Medal bea>*fi the following 
inscription : 

| 

** Presented to Frederick Ho.^ick, M. D., by the Ladies who attended 
his Lectures on Physiological Science, delivered at Philadelphia, March, 
1846, as an expression of their ipprobation of the knowledge therein 
eonveyed, and as a testimonial u£ pergonal regard." 

On the reverse is the Sun, and reflected by the rays of the luminary 
a scroll containing the words 

** To give light to them that sit in darkness.* 

PhiUi. Spirit of the Timti^ Starch 28, 1846 



"LETTERS FROM NEW YORK, NO. 11. 

« • * * * There have been several courses of Lecture* 
en Anatomy, this winter, adapted to popular comprehension. I rejoice 
at this ; for 'it has long been a cherished wish with me that a genera] 
knowledge of the structure of our bodies, and the laws which govern 
It, should extend from the scientific few into the common education of 
the people. I know of nothing so well calculated to diminish vice and 
vulgarity as universal and rational information on these subjects. 
But the impure state of society has so preverted nature, and blinded 
eommon sense, that intelligent women, though eagerly studying the 
structure of the Earth, the attraction of the Planets, and the repro 
duction of Plants, seem ashamed to know anything of the structure of 
the human Body, and of those Physiological facts most intimately con- 
nected with their deepest and purest emotions, and the holiest experi- 
ence of their lives. I am often tempted to say, as Sir C. Grandisoa 
did to the Prude — ' Wbttest thou not how much »n-delicacy there is in 
thy delicacy ? ' 

** The only Lectures I happened to attend were those of Dr. Hollick, 
which interested and edified me much. They were plain, familiar 
conversations, uttered and listened to with great modesty of language, 
and propriety of demeanor. The Manikin, or Artificial Anatomy, by 
which he illustrated his subject, is a most wonderful machine invented 
by a French Physician. It is made of pcpier mache, and represents 
ihe human boay with admirable perfection, in the shape, coloring, and 
arrangement even to the minutest fibres. By the removal of wires it 
tan be dissected completely, *** as to show the locality and functions 
cf the various Organs, the intwtor of the Heart, Lungs, &c. 

*' Until I examined this curious piece of mechanism, I bad very faint 
end Imperfect ideas of the miraculous machinery of the house we live 
la. I found it highly suggestive of many things to my mind." * * • 

L. M- C. 

( Extract from a Letter in the '*' Boston Courier * of lionfaj, Jus* 
H 1M4, by Mrs. L. M. Child.] 



456 APPENDJK. 

Dm. Rollick's course of lectures at Washingtonlan Hall on the 
Origin of Life, cemmenced on Monday, and were listened to with 
breathless attention till the close, when the audience, in a body 
assembled ajound the speaker's stand, and congratulated him apon the 
excellence, novelty and utility of his disdourse, and the vigor and 
felicity of his explanations. The manikin used by the Dr. to illustrate 
his remarks, is as large as life, and contains a fac simile of all the im- 
portant machinery of the human body, and it is a treat to behold them 
and listen to the accompanying observations regarding their uses and 
abuses. The advance of modern science is aptly illustrated by the 
declaration of Dr. H., that within the last two years there have been 
discovered greater facilities for teaching medical doctrines to the 
multitude than the two foregoing centuries furnished for the instruc- 
tion of medical men. If then, modern days afford so much additional 
light, it is even culpable on the part of the community if they do not 
avail themselves of knowledge so indispensible to health and happi- 
ness. Dr. Hollick's remarks are unexceptionable, easily understood, 
and have all the force of philosophy without the learned jargon of the 
pedant.— Bost on Post, March 23, 1848. 



j$J- Dr. Hollick's new series of Lectures which commence to-day 
for ladies in the afternoon, and for gentlemen in the evening, will no 
doubt prove a source of high gratification, and useful instruction, to 
all who can attend them. We understand each lecture will be quit€ 
eomplete by itself, and will embrace every topic of interest and every 
fact of value, that have the slightest bearing upon the subject dis* 
eussed. The Dr. has a most admirable 'power of condensation, ana 
never loses time with mere words, so that he puts more valuable 
matter in one of his discourses than is ordinarily scattered over four. 
The ladies* lectures are all to be of a strictly useful character, em- 
bracing the causes of their various complaints, and how to avoid 
them, Jtc. It was remarked by many, who were there last week, that 
guoh knowledge would prevent more disease than any medical skill 
could cure, and that they scarcely knew which to admire most, the 
value of the information itself, or the singularly pleasing, plain, and 
delicate manner in which it was communicated. The attendance will 
no doubt be large, and those who go late will probably be again dis- 
appointed, as hundreds were last week. — Boston Bee, March 7, 1-848. 



Bit. Rollick's New Series of Lectures.— At the request of many 
vf our citizens Dr. H. has arranged to commence on Monday next, a 
teurse for ladies and gentlemen together, on Physiology and Health, 
and also one in the afternoon for ladies alone, illustrated by his cele- 
brated models ; paintings, &c. The great interest and importance 
of this subject, and the reputation of the lecturer himself, will no 
doubt cause a very large attendance, but the Doctor has properly 
made his arrangements so that no more will be admitted than can 
be comfortably seated. These lectures will be quite a prominent fea 
ture in next week's entertainments, and we should not be surprised 
if the Doctor is even better patronized than he was last winter, whea 
hundreds could not obtain admission to hear him. — Boston Titnu 
B*vtmbtr % 1848 



APPENDIX. 457 

Dr. ITs. style of lecturing is exceedingly plain, lucid and intelligi- 
ble, lie relies on no trick or art of oratory — no effort to surprise or 
Itartle— to obtain or keep up the interest of his lectures. But they 
are deeply interesting. They are listened to in silence and with 
enchained attention— an attention that would feel annoyed at any 
fictitious arts of the speaker. The reason of thi6 is obvious. The 
entirely novel character of the lectures, the deep and pervading in- 
torest of the subjects discussed — subjects embracing all that is mys« 
t.erious and of momentous importance in the matter of man's repro- 
luction and existence in this world— give to the lectures a solid and 
inestimable value as well as enchaining freshness and interest. 

We believe Dr. Hollick is the only man in the country who has de- 
voted years of study to this important but too much neglected branch 
of human knowledge, or rather of human ignorance: and who is now 
trying to extend the lights of wholesome understanding on the sub- 
jects embraced, among the people. 

la this matter, we recognize in Dr. H. a public benefactor, and we 
owe it to the welfare of our fellows to commend him as such in this 
<3ec'ded manner. We give utterance to no formal or paid-for puffin 
this matter. Our readers kuow us to be incapable of such a prostitu- 
tion of our columns. The large numbers of ladies and gentlemen 
who have attended Dr. H.'s lectures know that we do but speak of 
this subject as it merits. — St. Louis Intelligencer. Feb. 8, 1850. 

We were most agreeably surprised and delighted. Highly as Dr. 
H. came recommended, and thoroughly as were his lectures approved 
by men of intelligence abroad, we had no idea before hearing him, of 
the vast utility of his labors. 

The subjects he discusses are of the highest importance to the 
well-being of the human race, and an ignorance of them is daily pro- 
ducing a decree of disease and death, the extent of which nothing but 
the astounding disclosures of eternity will reveal.— Si. Loui% Era, 
fsb. 1. 1860. 



He is certainly an admirable lecturer, being clear in voice, distinct 
in expression, and having a very felicitcus mannes of imparting in- 
struction. We are persuaded his lectures must be productive of 
great good. — Organ, St. Louis , Mo. 

Dr. Hollick — This distinguished lecturer had a crowded house at 
the Apollo last evening and his delighted audience expressed their 
approbation at the close of his discourse by loud applause. 

Dr. H. is indeed a most entertaining and instructive lecturer. We 
heard a medical gentlemen say last even ; ng. after listening 'o him, 
that be would not fail to hear the whole series even if he snodd have 
fco sell his coat to raise the means. The information, imparted by 
Dr. H., must be truly invaluable to every one who possesses it.— 
Louisville Journal, Jan. 8, I960. 



Undoubtedly he is the most eloquent, instructive and impressive 
lecturer in the United States upon physiology and health. Trie peQ- 
ple of Cincinnati were so delighted with him that the 7 pievailed on 
tim to deliver four courses of lectures, and, when he was at length 
•bliged to leave them, they obtained from hioi a promise to r*tura.— 
Louitvillt Journal, Jon. 5, 1864). 



158 AFPENDHC. 

Another Course. — Dr. Hollick, in consequence of + he &?*at sacee* 
with which he has met, has concluded to repeat hif %jurse of lecture* 
as will be seen by reference to another column, h..* lectures imparl 
information of such value and are so highly interes mg, that & per 
Bon who hears him once. Trill not fail *-> attend the series. — Timet 
Cindrm , December. 1849 



Dr. Rollick's Lecture have excited great attention and pi< ducen 
much benefit throughout the country. These lectures are strict!) 
moral an 1 highly instructive. There is nothing connected with then 
calculated to oifend the most sensitive delicacy. — Delta, New O'iesn 
Feb. 24, 1350. 



In November, 1849, Dr. Hollick lectured in Pittsburgh, Pa., to crowd 
ed audiences, and at the termination of his last course was publiclj 
thanked and requested to return. 

In December, 1849, he gave four courses in Cincinnati, Ohio., an$ 
then bad to give a promise to return at an early period. 

In January, 1850, after two crowded courses, the ladies of Louisville, 
Ky , tendered him publicly a most nattering vote of thanks and re- 
quested him to visit them again as early as his engagements woula 
allow. 

In St. Louis, Mo., February, 1850, he had crowded houses, both of 
ladies and gentlemen, for three weeks > and public resolutions, com 
mending his lectures in the highest terms, were passed on severaJ 
'Vcasions. 

On going down the Mississippi River, February, 1850, he was unan 
Imously requested by the officers and passengers of the splendid steam- 
er Atlantic, to unpack his Models and lecture to them on the boat, 
which he did on three several days. At the conclusion, the audience 
resolved itself into a meeting, Dr. Gibson of Mississippi, being called 
to the chair, and Dr. Clark of St. Louis, elected Secretary. A series 
of resolutions were then passed unanimously, returning thanks for 
the lectures and commending them in the highest terms. Theae reso 
lutions, headed, 

" Novel and interesting scene on board a Mississippi steamer" 

were published in the Picayune, New Orleans, the inhabitants oi 
which place were strongly urged to nttend when the lectures wen 
given in their city, and which they did not fail to do 

Dur.ng his stay in the West and South, Dr. H. was everywhere re- 
vived in the most flattering manner, and his efforts to impart import- 
ant physiological knowledge in a popular manner, were fully appreci- 
ated. In every place the largest room that could be obtained wai 
•rowded at each .ecture, and the number of applicants for consulta 
tions was so great that on several occasions Dr. H. was obliged *» 
jpostpoae the lectures in order to attend to thwu. 



APPENDIX. 469 

ADDITIONAL NOTICES. 



la the early part of this year Dr. H. lectwed for frur tces/ci, wit* 
the most unbounded success, in Philadelphia, and for four mere il 
^Baltimore, v^ere his reception was enthusiastic, the ladies filling tba 
room, and p:r-sing on the last day a series of highly flattering and 
eommendator- Resolutions, which were published in the dany papers 
The following L-e a few of the PditorUls given at that time : — 

[COintOTCATED.] 

Messrs. Editors — The most scientific and useful lectures of th« 
present day, which should claim the attention of every one. are now 
being delivered at Masonic Hall, by Dr. Hollick, on the subject of Pa- 
ternal Physiology and Health. The writer of this heard his first 
course, delivered during the last week, and having been educate! to 
the medical profession, is, perhaps, capable of judging c€ their use- 
fulness. There is no doubt that the general feeling of the medics* 
faculty, and of an enlightened community, towards itinerant lectur- 
; been one of disapprobation and apprehension of quackery, 
but in the present instance there is certainly an exception. 

Dr. Dunbar, (formerly Professor at the Washington College.) who 
Srttended Dr. H.^s last lecture, on Friday evening, was so pleased with 
the manner and matter of the lecture that he came out openly at the 
close of the lecture and stated, before the audience had dispersed, tha/ 
he had come there at the request of a patient, prejudiced against tfc% 
lecturer, but on hearing him he thought it his duty to say t^at the 
lecture was perfectly fair, scientific, calculated to do a vast amount 
»f good, and that evej-y man, young or old;, should hear, and would be 
benefited thereby. Jrs illustrations are complete and beautiful, and 
his explanations couched in such delicate language that the most fas- 
tidious can find no fault. Those of your numerous readers who may 
devote an hour to his remaining lectures will thank you for giving 
this publicity. — Baltimore •American, March 2. 1S52. 



Dr. Holijck's Lectures. — The distinction which Dr. Hollick has ac 
quired as a most intelligent, judicious and salutary lecturer on the 
mter^ting and important subjects of human physiology and health, 
renders any commendation from us quite unnecessary ; yet, in view 
of the fact that the course which he has lately delivered in this city, 
is, at the solicitation of many, to be repeated on this and the next 
two days at Masonic Hail, we would take occasion to assure all of their 
great value to every individual member of the human family. Many 
of the most prominent o* the medical faculty in this city bear testi- 
mony to the excellence of these lectures, as calculated to be highly 
useful, in imparting, in the most unexceptionable manner, that know- 
ledge of hfunan physical structure and the laws oi health, the want 
tf which r^w cw%£l*£,s so much disaster and suffering — £altim*9t 
Sim, Mar U 1 . ltoa 



460 



APPErTIHX. 



tfRITIJIO DISK AND GOLD PEN PRESENTED TO DR. H. IT OIW 
OF HIS LADY CLASSES. 

Dr. Hollick — Dear Sir : The members o/ . 
your class, desiring the gratification of offering 
you some, testimonial of their personal regard, 
and grateful appreciation of the benefits which 
you are conferring upon them and their se.i 
generally, respectfully request your acceptance 
of the accompanying writing desk. 

Were it necessary, we might repeat our as- 
surances that your services to humanity will be, 
by us, long and gratefully remembered. The 
women of this generation have reason to rejoice 
that, by your efforts, a new and extensive field 
of information has been opened to them, whence 
they may derive treasures of knowledge, of im- 
mense importance to themselves and their pos- 
terity, hitherto concealed within professional 
enclosures. 

Wishing you health and happiness, we b€g 
leave to subscribe ourselves, 

Truly your Friends, 
Signed on behalf of the class by, 

M. G. ^ 
O. W. B. 
Pkila. March 20, 1845. 




461 




DR. HOLLICK'S 

APHRODISIAC REMEDY. 

This is the celebrated Remedy so long used in Dr. 
Sollick's extensive practice, for the cure of IMPO- 
fBNOB, STERILITY, and all forms of Sexual and 
Nervous Debility ! 

For many years Dr. Hollick has been importuned to 
offer this remedy for public sale, but till now, has not been 
able to do so, on account of the scarcity and dearness, of 
many of its ingredients, and the large quantity required 
in his practice. 

Having at length succeeded after immense cost and 
labor, in procuring a larger supply, Dr. Hollick now for 
the first time offers it to the community at large, in 
compliance with the numerous and urgent requests 
that have been tendered to him ever since its first intro- 
duction ! 

This Remedy is the only one of the kind which can 
possibly be obtained, because Dr. Hollick alone possesses 
the secret of its composition, and has secured the entire 
monopoly of the rarest and most powerful of its ingredi- 
ents. It is composed of thirty-three different sub- 
stances ; some so powerful that not more tb/;n the hund- 
reth part of' a grain can be used at a dose, and so dear 
that a single grain will often cost from two to four Dol- 
lars ! It is however perfectly harmless, and may be 
Bafely used by ali persons, and in any circumstances. 

To the Childless, the Impotent, the Nervous, the 
Feeble, both in Body and Mind, the Hypochondriac, 
and those who find themselves becoming old too soon of 
Both Sexes ; the Aphrodisiac will be found a sure and 
Permanently effective Remedy 1 



UR. HOLLlC&g 461 

It is not a mere stimulant, or Injurious Excitant, 
acting only for the moment, but a true Nervine and Sex* 
cai. Tonic and Renovator, producing new Nervous and 
Sexual material, wheD these have been wasted by excess 
abuse, or disease! 

Several of the articles which compose the Aphrodisiac 
Remedy, have been used from time immemorial, in a crude 
form, and separately, but no scientific combination of the 
whole was ever possible till now. 

The celebrated Dream Drug of the East, the Indian 
Hemp, is often used as an Aphrodisiac, and will sometimes 
cause erotic dreams. This however is only accasional, 
and such an effect is always followed by unusual debility, 
terminating at last, if its use is continued, in complete 
sexual impotence. 

In the Harems of Turkey,, a compound is used called, 
in Arabic, " Loves Assistant ! " It is composed of 
various stimulating spices, with opium and musk, and has 
some power, when first used, but at last it eventually 
causes general weakness and decay, both of body and 
mind. The late Sultan of Turkey used this compound 
till he was nearly an idiot ; and at last died from sheer 
pxhaustion. 

In China they have a Pill somewhat similar to this, 
and which causes almost identically the same results 
Sometime ago this Chinese Remedy was brought to France, 
and sold in Paris under the name of Honneur de la Fa- 
mille ! (Honour of the Family !) this being its Chinese 
name, — the evil results from its use however, soon caused 
it to be but little called for. 

In some parts of Arabia and Africa, an Aphrodisiac 
has* also been long employed, as we can see from allusions 
in old Chronicles, and in various Poems. Even in the 
Hebrew Scriptures the Mandrake is spoken of as being 
bo used. The Hindoos have always been great lovers of 
A phrodisiacs. and they possess some powerful ones, which 
however they use without knowledge, and consequently 
derive but little good from them, and much harm. 

All these articles, after much trouble, time; and expen- 



464: APHRODISIAC REMEDY. 

pes, Dr. Hollick obtained and analyzed, so as to kno* 
exactly what they were. 

The Aphrodisiac Remedy contains what is really good 
and effective in all of them, without any of their hurtful 
qualities. 

The Common Aphrodisiacs are merely compounds of 
Spanish flies t Opium, Strychnine, Arsenic, Phosphorus and 
imilar drugs ; Most of them are rank poisons! 

Among other names used for Aphrodisiacs, by tha 
Turks, Arabians, and Hindoos, we find the following. 
Parent of Pleasure ! — Delight of Paradise ! — Fam- 
ily Multiplier! — Youth Prolonger ! — Hope of the 
Aged ! — Brain Strengthener ! — Fountain of Power 1 
--Strength Giver! — And numerous others, all indicaU 
ing the same powers. All of these various articles there* 
fore, imperfect though they are, have still gained a repu- 
tation, and are eagerly sought. How much more valuable 
therefore must be a compound which combines the excel- 
lences of all, without any hurtful qualities whatever! 

Although never advertised, and only known through 
the reports of those who had been restored by its use, 
the Aphrodisiac of Dr. Hollick has become known, and 
sought for in all the principal cities of Europe! Many 
persons of eminence have regularly obtained it, privately, 
and in more than one instance the wishes and hopes of 
married people of high rank, have been fulfilled through 
its means. 

Its fame has even reached Turkey, and in Constantino- 
ple itself, the Aphrodisiac is rapidly supplanting the hurt- 
ful and inefficient drugs formerly in use. 

No public announcement is needed therefore to sell the 
Aphrodtttac, but only to let those persons know they can 
now have it who have so long been wishing for it in vain. 

In most ordinary cases of Sexual Debility, One package 
of the Aphrodisiac usually restores the virile power com* 
pletely, and in all cases enough to show that entire resto- 
ration is only a question of lime. When the system is 
much run down however, and the decay has existed for a 
bug period, the remedy must be persisted in for a longei 
time, and several packages may be needed. Old person^ 



DR. rollick's 4W 

or those worn down by excesses, should take it regularly, 
to prevent further decay, — and so should those who ovei 
mdidge, to ward off the consequences of their indiscretion. 

If no sufficient restoration follows a fair trial of the 
Aphrodisiac Remedy, it may safely be inferred, that there 
H either a natural imperfection, or some Organic Disease, 
most probably there is loss of semen in the urine ! In all 
such cases the person should at once consult Dr. Holliok, 
for the purpose of having a thorough examination, and a 
full treatment tiU the difficulty is removed. 

Females who are Childless, cold in temperament, Ner- 
vous, and sexually feeble, are as much benefited by the Re- 
medy as males, and ma»y a solitary hearth has been bless- 
ed with children through its use. 



For those who cannot possibly visit Dr. Hollick, he 
wiii explain a simple mode of examining the urine by 
which the facts of the case can be fully ascertained, so 
that patients at a distance can be treated by correspon- 
dence with perfect success. All Dr. Hollick's Medi- 
cines are put up in the form of concentrated dry powders, 
to go by post, without any risk of detection. Hundreds 
of patients are constantly being prescribed for in this way, 
with perfect success. 

gg&* All letters are destroyed as soon as notes are taken 
of the case. 

(See the Pamphlet accompanying each package — and 
also Dr. Hollick's Books on Marriage, and on the Male 
Sexual system.) 

The Aphrodisiac Remedy is put up in flat Gold 
Boxes in such a manner that it will go anywhere by Post 
like a letter, without any risk of Inspection or detection. It 
will also keep unhurt for any length of time, in any climate 
and in any circumstances ! It may be carried unobserved 
in the vest pocket, and requires no liquids, nor any meas- 
uring, or apparatus of any kind when taken ; being in a 
solid form, divided into graduated doses, and vtithmA 
naell or taste. 



466 APHRODISIAC REMEDY. 

PRICE FIVE DOLLARS 

Per Paekage, for which it will be sent free by Post^ 
to any Address. 

5gf~ To Prevent Counterfeiting, and to make 
sure that no one can be imposed upon by pretenders, Dr. 
Hollick does not sell his Remedy through Agents (unless 
specially mentioned in his publications). 

Address to "Dr. F. Hollick, Box 3606, New York 
City." 



